MEDICARE: GRACIE GUM MOTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	2385	WV

General Provider Information

NPI Number	:	1710767132
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRACIE GUM MOTR/L

Provider Business Mailing Address
First Line	:	1622 INDIAN FORK RD
Second Line	:
City	:	NEW MILTON
State	:	WV
Zip	:	26411-6185
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1622 INDIAN FORK RD
Second Line	:
City	:	NEW MILTON
State	:	WV
Zip	:	26411-6185
Country	:	US
Telephone Number	:	304-871-6568
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2023
Last Update Date	:	10/03/2023

Similar Medicare Providers

1689784266 — DR. DONALD DAVID ROBINSON MD
Practice Location Address:

1260 MONROE AVE , MONROE CENTER - SUITE 15H
NEW PHILADELPHIA, OH
44663-6185

Practice Phone: 330-602-5339
Practice Fax: 330-602-4388

1295368538 — MILLERS QUALITY DELIVERY SERVICE
Practice Location Address:

483 LAUREL LN APT 210
NEW BRAUNFELS, TX
78130-6185

Practice Phone: 719-551-7837
Practice Fax:

1326716929 — PAULA K HARDBARGER
Practice Location Address:

2483 LITTLE BUCK RUN
NEW MILTON, WV
26411-6323

Practice Phone: 304-873-3893
Practice Fax:

1659023653 — SHANNA PARTRIDGE
Practice Location Address:

63 RED LICK RD
NEW MILTON, WV
26411-6225

Practice Phone: 304-290-9066
Practice Fax:

1982461117 — KIMBERLY HORNSBY
Practice Location Address:

4769 HORN CREEK RD
NEW MILTON, WV
26411-6505

Practice Phone: 304-462-8425
Practice Fax:

1033900360 — TAMMY BLAKE
Practice Location Address:

2045 GROVE SUMMERS RD
NEW MILTON, WV
26411-6118

Practice Phone: 304-669-0581
Practice Fax:

Directions to “ GRACIE GUM MOTR/L” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.