Search › Washington › 224P00000X
Michael Rucker, LPO
NPI 1578642914 · on the registry since 2006 · sole proprietor
Practice
- Address
- 548 Sussex Ave W
Tenino, WA 98589 - Phone
- (360) 264-6553
- Fax
- (360) 264-2621
- Organisation at this address
- Scatter Creek Prosthetics Inc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 224P00000X
224P00000X
- Also registered as
- 222Z00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-12-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington