SCATTER CREEK PROSTHETICS INC.
NPI 1689739120
Prosthetist in Tenino, WA

Q: What is Scatter Creek Prosthetics Inc.'s NPI number?

The NPI number for Scatter Creek Prosthetics Inc. is 1689739120. It was assigned to this organization in the NPPES registry on December 26, 2006.

Q: What is Scatter Creek Prosthetics Inc.'s specialty?

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

Active since December 26, 2006

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

NPPES record last updated: February 4, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Scatter Creek Prosthetics Inc. NPPES

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

SCATTER CREEK PROSTHETICS INC. (NPI 1689739120) is a healthcare organization registered as a prosthetist in Tenino, Washington and active in the NPI registry since December 2006. The organization lists Michael Gene Rucker, President, as its authorized official.

NPPES Registry Identity

NPI1689739120

Entity TypeOrganization

Primary Taxonomy224P00000X

Legal Business NameSCATTER CREEK PROSTHETICS INC.

Location Address548 SUSSEX AVE WTenino, WA 98589-9341

Mailing Address225 143rd Ave SeTenino, WA 98589-9604 · (360) 264-6553

Phone(360) 264-6553

Organization SubpartNo

Authorized OfficialMichael Gene RuckerPresident · (360) 264-6553

Enumeration DateDecember 26, 2006

Last NPPES UpdateFebruary 4, 2008

✔ NPI 1689739120 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

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

548 SUSSEX AVE W, Tenino, WA 98589

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Other Identifiers 1

Medicare NSC1234640001WA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MR. MICHAEL GENE RUCKER LPO

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 Scatter Creek Prosthetics Inc.'s NPI number?

The NPI number for Scatter Creek Prosthetics Inc. is 1689739120. It was assigned to this organization in the NPPES registry on December 26, 2006.

Where is Scatter Creek Prosthetics Inc. located?

Scatter Creek Prosthetics Inc. is located at 548 Sussex Ave W, Tenino, WA 98589. The listed phone number is (360) 264-6553.

What is Scatter Creek Prosthetics Inc.'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 Scatter Creek Prosthetics Inc. was last updated on February 4, 2008. 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.