| Ivori Rucker, | |
|
43700 Woodward Ave, Bloomfield Hills, MI 48302-5058 | |
| (734) 596-8311 | |
| Not Available |
| Full Name | Ivori Rucker |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 43700 Woodward Ave, Bloomfield Hills, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538578265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 7501003769 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ivori Rucker, 6775 Redman St, Westland, MI 48185-2740 Ph: (734) 596-8311 | Ivori Rucker, 43700 Woodward Ave, Bloomfield Hills, MI 48302-5058 Ph: (734) 596-8311 |
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