Medical school: NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated: 2014
NPI: 1083016851
Practice Locations (2)
FULL RANGE MOBILE PT LLC
12452 S GALLERY ST
OLATHE, KS 660626096
8166000309
FULL RANGE MOBILE PT LLC
LAKE WINNEBAGO, MO 64034
8166000309
Source: CMS National Downloadable File, September 2026.