Medical school: NATIONAL COLLEGE OF CHIROPRACTIC
Graduated: 1980
NPI: 1164402210
Practice Locations (1)
TRI-STATE PHYSICIANS AND PHYSICAL THERAPY CLINIC PC
3900 DAKOTA AVE, SUITE 6
SOUTH SIOUX CITY, NE 687763696
4024945173
Source: CMS National Downloadable File, September 2026.