MR. Michael Gene Rucker, LPO

NPI #1578642914 in Tenino, Washington

Provider Information

NPI Number: 1578642914
Entity Type: Individual
Name: MR. Michael Gene Rucker, LPO
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Prosthetist
Credential: LPO
Enumeration Date: Nov 5, 2006
Last Updated: Dec 17, 2007

Practice Location

Address: 548 SUSSEX AVE W
City: Tenino
State: Washington
ZIP Code: 98589-9341
Phone: (360) 264-6553

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotist	222Z00000X
Prosthetist	224P00000X	Primary

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Organizations

Provider Name	Specialty	City
Scatter Creek Prosthetics Inc.	Prosthetist	Tenino	AI Deep Dive

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