Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Michael Gene Rucker, LPO

Individual provider Orthotist · NPI 1578642914

Mr. Michael Gene Rucker, LPO is an Orthotist in Tenino, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2006
Specialties on file
2

Practice location Address checks out

548 Sussex Ave W
Tenino, WA 98589-9341
Phone: (360) 264-6553
Fax: (360) 264-2621
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetist (primary) Taxonomy 224P00000X · Licence PS00081 (WA)
Orthotist Taxonomy 222Z00000X · Licence OI00082 (WA)

Record details

NPI number1578642914
Entity typeIndividual (Type 1)
GenderMale
Credentials LPO
Sole proprietorYes
NPI enumeratedNovember 5, 2006
Last updated in NPPESDecember 17, 2007

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