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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. RUSTY LEE MUSICK II

Active

MR. RUSTY LEE MUSICK II is a Peer Specialist healthcare provider located in FAIRDALE, West Virginia. NPI 1265300032 is currently active in the NPPES registry. Verify at CMS.

Peer Specialist · FAIRDALE, WV

Registration Details

NPI Number
1265300032
Provider Type
Individual
Gender
Male
NPI Issued
Oct 24, 2025 (0.8405794904688 yrs)
Last Updated
Oct 24, 2025
License
24-948 (WV)

Practice Information

Address
2121 BOLT RD
FAIRDALE, WV, 258399610
Browse WV providers · Browse ZIP 25839
Phone
3045733134
Primary Specialty
Peer Specialist
175T00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.