MEDICARE: AMANDA BETH TERRY

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	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1124698402
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA BETH TERRY

Provider Business Mailing Address
First Line	:	3433 ROACH RD
Second Line	:
City	:	SALT ROCK
State	:	WV
Zip	:	25559-9508
Country	:	US
Telephone Number	:	304-544-1871
Fax Number	:

Provider Business Practice Location Address
First Line	:	3433 ROACH RD
Second Line	:
City	:	SALT ROCK
State	:	WV
Zip	:	25559-9508
Country	:	US
Telephone Number	:	304-544-1871
Fax Number	:

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

Provider Enumeration Date	:	06/29/2021
Last Update Date	:	06/29/2021

Similar Medicare Providers

1861732471 — KARI CRAIG DPT
Practice Location Address:

2053 MECHANICSVILLE RD
ROCK CREEK, OH
44084-9508

Practice Phone: 330-636-6333
Practice Fax:

1942509856 — LINCOLN COUNTY PRIMARY CARE CENTER, INC
Practice Location Address:

5490 STATE ROUTE 10
SALT ROCK, WV
25559-9736

Practice Phone: 304-824-5806
Practice Fax: 304-824-5804

1609366798 — LEVI ROBERTS
Practice Location Address:

4779 GUYAN RIVER RD
SALT ROCK, WV
25559

Practice Phone: 304-733-1112
Practice Fax:

1427661016 — LEONARD RUSSELL LUCAS
Practice Location Address:

RR 1 BOX 350
SALT ROCK, WV
25559-9733

Practice Phone: 304-208-4920
Practice Fax:

1205440393 — SARA ELISABETH SIMMONS
Practice Location Address:

744 RT 2
SALT ROCK, WV
25559-9761

Practice Phone: 304-360-9502
Practice Fax:

1376146605 — CAYLA CLAIRE BOWEN
Practice Location Address:

3433 HINCHMAN BEND ROAD
SALT ROCK, WV
25559

Practice Phone: 681-204-5658
Practice Fax:

Directions to “ AMANDA BETH TERRY ” 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.