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

Sidra E Rucker

Individual provider Customized Equipment (DME) · NPI 1891429148

Sidra E Rucker is a Customized Equipment (DME) in Oklahoma City, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
3

Practice location Address checks out

10910 N Penn Ave
Oklahoma City, OK 73120-7610
Phone: (405) 906-9338
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X
Customized Equipment (DME) Taxonomy 332BC3200X
Prosthetics Case Management Taxonomy 1744P3200X

Record details

NPI number1891429148
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 12, 2022
Last updated in NPPESJuly 12, 2022
Certification dateJuly 12, 2022

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