Graduated: 2018
NPI: 1275769218
Practice Locations (2)
ELEVATED PHYSICAL THERAPY AND WELLNESS LLC
8827 N GOVERNMENT WAY, UNIT 102
HAYDEN, ID 838358231
2082439335
SHELLMAN INC PA
1551 E MULLAN AVE, SUITE 102
POST FALLS, ID 838549005
2087738111
Source: CMS National Downloadable File, September 2026.