Scatter Creek Prosthetics Inc.
NPI #1689739120 in Tenino, Washington
Provider Information
- NPI Number
- 1689739120
- Entity Type
- Organization
- Organization Name
- Scatter Creek Prosthetics Inc.
- Primary Specialty
- Prosthetist
- Enumeration Date
- Dec 26, 2006
- Last Updated
- Feb 4, 2008
Practice Location
- Address
- 548 SUSSEX AVE W
- City
- Tenino
- State
- Washington
- ZIP Code
- 98589-9341
- Phone
- (360) 264-6553
Authorized Official
- Name
- MR. MICHAEL GENE RUCKER, LPO
- Title
- PRESIDENT
- Phone
- (360) 264-6553
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthotist |
| Prosthetist |
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