Provider Demographics
NPI:1669264693
Name:RUECKERT, RONDIE (OTR/L)
Entity type:Individual
Prefix:
First Name:RONDIE
Middle Name:
Last Name:RUECKERT
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:RONDIE
Other - Middle Name:
Other - Last Name:LONGACRE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OTR/L
Mailing Address - Street 1:65 107TH AVE SE APT 333
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-4073
Mailing Address - Country:US
Mailing Address - Phone:385-444-8626
Mailing Address - Fax:
Practice Address - Street 1:2450 S 142ND ST
Practice Address - Street 2:
Practice Address - City:SEATAC
Practice Address - State:WA
Practice Address - Zip Code:98168-3840
Practice Address - Country:US
Practice Address - Phone:206-631-5300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-17
Last Update Date:2025-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontology