Graduated: 2023
NPI: 1043175003
Practice Locations (2)
ULTRA HEALTH LLC
4128 OLD JACKSON RD
BELLS, TN 380064261
7313941145
PATHWAYS OF TENNESSEE INC
9550 HWY 412 W, SUITE B
LEXINGTON, TN 383515850
7319688197
Source: CMS National Downloadable File, September 2026.