Individual
DR. ANGELA M MICKLE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD, ATC
Contact information
Practice address
504 HARVEY ST, RADFORD, VA 24141-2330
(540) 633-2121
Mailing address
504 HARVEY ST, RADFORD, VA 24141-2330
(540) 633-2121
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
VA
Other
Enumeration date
06/22/2006
Last updated
07/08/2007
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