Individual
MARC RUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1161 S VALLEY VIEW BLVD, LAS VEGAS, NV 89102-1854
(702) 439-0607
Mailing address
9548 QUITMAN AVE, LAS VEGAS, NV 89149-1935
(702) 439-0607
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2030
NV
Other
Enumeration date
01/16/2014
Last updated
01/16/2014
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