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Individual

IVORI RUCKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
43700 WOODWARD AVE, BLOOMFIELD HILLS, MI 48302-5058
(734) 596-8311
Mailing address
6775 REDMAN ST, WESTLAND, MI 48185-2740
(734) 596-8311

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
4703130344
MI
225700000X
Massage Therapist
Primary
7501003769
MI

Other

Enumeration date
08/06/2014
Last updated
07/28/2026
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