location
search-icon
person
Mr. Michael Gene Rucker, LPO
Prosthetist in Tenino, Washington
NPI 1578642914

Michael Gene Rucker is a Prosthetist based in Tenino, WA. Michael Gene Rucker practices in Tenino, WA and has the professional credentials of LPO. The NPI Number for Michael Gene Rucker is 1578642914 and holds a License No. OI00082 (Washington).

The current practice location address for Michael Gene Rucker is 548 Sussex Ave W, Tenino, WA and can be reached out via phone at 360-264-6553 and via fax at 360-264-2621.

Location: 548 Sussex Ave W, Tenino, WA, 98589-9604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578642914
Provider Name
Michael Gene Rucker
Credential
LPO
Provider Entity Type
Individual
Gender
Male
Address
548 Sussex Ave W, Tenino, WA, 98589-9604
Phone Number
360-264-6553
Fax Number
360-264-2621
Provider Enumeration Date
11/05/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
6050SC 01 WA REGENCE BS ID
9047440 01 WA DSHS ID
91-19414989 01 WA EIN
126134 01 WA LABOR & INDUSTRIES ID
institution
Provider Business Practice Location Address Details
Address
548 Sussex Ave W
City
Tenino
State
Washington
Zip
98589-9341
Phone Number
360-264-6553
Fax Number
360-264-2621
person
Provider Business Mailing Address Details
Address
548 Sussex Ave W
City
Tenino
State
Washington
Zip
98589-9341
Phone Number
360-264-6553
Fax Number
360-264-2621
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
222Z00000X
License No.
PS00081 (Washington)
Definition
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Prosthetist
Speciality
-
Taxonomy
224P00000X
License No.
OI00082 (Washington)
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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.