MEDICARE: TAMMY CLUTTER

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	:	1497690382
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMMY CLUTTER

Provider Business Mailing Address
First Line	:	PO BOX 727
Second Line	:
City	:	ELKINS
State	:	WV
Zip	:	26241-0727
Country	:	US
Telephone Number	:	304-636-4747
Fax Number	:	304-636-7724

Provider Business Practice Location Address
First Line	:	1 FIFTH STREET
Second Line	:
City	:	ELKINS
State	:	WV
Zip	:	26241
Country	:	US
Telephone Number	:	304-636-4747
Fax Number	:	304-636-7724

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

Provider Enumeration Date	:	04/20/2026
Last Update Date	:	04/20/2026

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Directions to “ TAMMY CLUTTER ” Practice Location

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