Graduated: 1999
NPI: 1306992540
Practice Locations (2)
1600 SE J ST, SUITE 4
BENTONVILLE, AR 727126804
PREMIERE PHYSICAL THERAPY AND SPORTS REHAB LLC
1600 SE J ST, SUITE 4
BENTONVILLE, AR 727126804
4792739933
Source: CMS National Downloadable File, September 2026.