MR. MICHAEL GENE RUCKER LPO
NPI 1578642914
Prosthetist in Tenino, WA

Q: What is Michael Rucker's NPI number?

The NPI number for Michael Rucker is 1578642914. It was assigned to this individual provider in the NPPES registry on November 5, 2006.

Q: What is Michael Rucker's specialty?

The primary specialty registered for this NPI is Prosthetist with taxonomy code 224P00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Rucker was last updated on December 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 05, 2006

548 SUSSEX AVE W, TENINO, WA 98589(360) 264-6553(360) 264-2621 Get Directions Write a Review

NPPES record last updated: December 17, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Mr. Michael Gene Rucker Lpo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MICHAEL GENE RUCKER LPO (NPI 1578642914) is an individual prosthetist provider in Tenino, Washington, licensed in Washington (PS00081) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1578642914

Entity TypeIndividualMale

Primary Taxonomy224P00000X

Provider Legal NameMR. MICHAEL GENE RUCKERCredential: LPO

Location Address548 SUSSEX AVE WTenino, WA 98589-9341

Mailing Address225 143rd Ave SeTenino, WA 98589-9604 · (360) 264-5342

Phone(360) 264-6553

Fax(360) 264-2621

Sole ProprietorYes

Enumeration DateNovember 5, 2006

Last NPPES UpdateDecember 17, 2007

✔ NPI 1578642914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code224P00000X

License✔ Licensed in WA · PS00081

Definition

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Also ListedOrthotistTaxonomy 222Z00000X · License OI00082 (WA)

548 SUSSEX AVE W, Tenino, WA 98589

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Other Identifiers 5

Other6050SCWA · Regence Bs Id

Medicare NSC1234640001WA

Other91-19414989WA · Ein

Other126134WA · Labor & Industries Id

Other9047440WA · Dshs Id

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SCATTER CREEK PROSTHETICS INC.

Prosthetist

548 SUSSEX AVE W
TENINO, WA 98589

Thurston County (360) 264-6553

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Rucker's NPI number?

The NPI number for Michael Rucker is 1578642914. It was assigned to this individual provider in the NPPES registry on November 5, 2006.

Where is Michael Rucker located?

Michael Rucker practices at 548 Sussex Ave W, Tenino, WA 98589. The listed phone number is (360) 264-6553.

What is Michael Rucker's specialty?

The primary specialty registered for this NPI is Prosthetist with taxonomy code 224P00000X.

When was this NPI record last updated?

The NPPES record for Michael Rucker was last updated on December 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.