Medical school: UNIVERSITY OF THE INCARNATE WORD SCHOOL OF OSTEO MEDICINE
Graduated: 2019
NPI: 1043869548
Practice Locations (1)
MOUNTAIN LAND REHABILITATION LLC
1950 E FORT UNION BLVD, SUITE 2
SALT LAKE CITY, UT 841216894
8019431041
Source: CMS National Downloadable File, September 2026.