Individual provider · Type 1 NPI

Justin Alexander Mickle

Rehabilitation Practitioner · Placerville, CA

NPI number 1891613469 Active

About NPI 1891613469

Justin Alexander Mickle's National Provider Identifier is 1891613469, issued on Jul 9, 2026. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Placerville, CA. The record was last updated on Jul 9, 2026.