Graduated: 2003
NPI: 1003819707
Practice Locations (2)
CHAMPION PHYSICAL THERAPY LLC HALLS
4307 N ROAN ST, SUITE 7
JOHNSON CITY, TN 376154973
4234915222
HOLSTON MEDICAL GROUP PC
105 W STONE DR, SUITE 1F
KINGSPORT, TN 376603256
4232302420
Source: CMS National Downloadable File, September 2026.