Medical school: WESTERN STATES COLLEGE OF CHIROPRACTIC
Graduated: 2020
NPI: 1346838232
Practice Locations (2)
ELLIS CHIROPRACTIC INC
512 W JUDICAL ST
BLACKFOOT, ID 832212031
2087829793
LIFETIME WELLNESS CHIROPRACTIC PLLC
528 N STATE ST
SHELLEY, ID 832741154
2083570333
Source: CMS National Downloadable File, September 2026.