MEDICARE: ASHLEIGH RUCKER CMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	84074	CA

General Provider Information

NPI Number	:	1710846837
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEIGH RUCKER CMT

Provider Business Mailing Address
First Line	:	385 GABIANO CT
Second Line	:
City	:	VACAVILLE
State	:	CA
Zip	:	95687-7614
Country	:	US
Telephone Number	:	925-212-1799
Fax Number	:

Provider Business Practice Location Address
First Line	:	3661 GRAND AVE STE 101
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94610-2012
Country	:	US
Telephone Number	:	925-212-1799
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2026
Last Update Date	:	01/16/2026

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