Graduated: 2020
NPI: 1073285185
Practice Locations (2)
PHYSICAL THERAPY SPINE AND SPORTS MEDICINE LLC
15425 MANCHESTER RD, SUITE 28
BALLWIN, MO 630113077
6362206969
WASHINGTON UNIVERSITY
14532 S OUTER 40 RD, SUITE 200
CHESTERFIELD, MO 630175784
3145143500
Source: CMS National Downloadable File, September 2026.