Individual provider · Type 1 NPI

Justin Allen Rucker

Rehabilitation Practitioner · San Diego, CA

NPI number 1114641495 Active

Practice location

995 Gateway Center Way Ste 300
San Diego, CA 92102-4550

Call (619) 398-2156 Map

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1114641495

Justin Allen Rucker's National Provider Identifier is 1114641495, issued on Sep 29, 2022. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in San Diego, CA. The record was last updated on Sep 21, 2026.