Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Justin Alexander Mickle

Individual provider Rehabilitation Practitioner · NPI 1891613469

Justin Alexander Mickle is a Rehabilitation Practitioner in Placerville, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

670 Placerville Dr Ste 1D
Placerville, CA 95667-4200
Phone: (530) 344-4846
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X (CA)

Record details

NPI number1891613469
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 9, 2026
Last updated in NPPESJuly 9, 2026
Certification dateJuly 9, 2026
Mailing address670 Placerville Dr Ste 1d, Placerville, CA 95667-4200

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