Provider Demographics
NPI:1396037925
Name:SCHIELE, JUSTIN LOUIS (MT)
Entity Type:Individual
Prefix:MR
First Name:JUSTIN
Middle Name:LOUIS
Last Name:SCHIELE
Suffix:
Gender:M
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:592 N WESTWIND DR
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92020-2843
Mailing Address - Country:US
Mailing Address - Phone:619-729-7244
Mailing Address - Fax:
Practice Address - Street 1:592 N WESTWIND DR
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-2843
Practice Address - Country:US
Practice Address - Phone:619-729-7244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-16
Last Update Date:2011-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8019225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist