Ivori Rucker, is a
Massage Therapist based in Bloomfield Hills, Michigan. Ivori Rucker is licensed to practice in Michigan (license number 7501003769) and her current practice location is
43700 Woodward Ave, Bloomfield Hills, Michigan. She can be reached at her office (for appointments etc.) via phone at
(734) 596-8311.
NPI number for Ivori Rucker is 1538578265 and her current mailing address is 6775 Redman St, Westland, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538578265.
Provider's Profile
| 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. |
NPI Data:
- NPI Number: 1538578265
- Provider Enumeration Date: 08/06/2014
- Last Update Date: 07/28/2026
Medical Identifiers
Medical identifiers for Ivori Rucker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1538578265 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 164W00000X | Licensed Practical Nurse | 4703130344 (Michigan) | Secondary |
| 225700000X | Massage Therapist | 7501003769 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ivori Rucker is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| 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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