Graduated: 2014
NPI: 1144639402
Practice Locations (3)
PRO-ACTIVE SPORTSMED PLLC
4219 6TH AVE SE, SUITE B
LACEY, WA 985031065
3604554448
PRO-ACTIVE SPORTSMED PLLC
2964 LIMITED LN NW, SUITE A
OLYMPIA, WA 985024577
3607047276
PRO-ACTIVE SPORTSMED PLLC
111 TUMWATER BLVD SE, SUITE 113
TUMWATER, WA 985016422
3605283300
Source: CMS National Downloadable File, September 2026.