Graduated: 2016
NPI: 1104279843
Practice Locations (2)
SPORTHERAPY LLC
8857 DAVIS BLVD, SUITE 100
KELLER, TX 762480308
8174318700
IDEAL PHYSICAL THERAPY OF TEXAS LLC
1288 W MAIN ST, SUITE 148
LEWISVILLE, TX 750673468
4694963992
Source: CMS National Downloadable File, September 2026.