Graduated: 2025
NPI: 1356290787
Practice Locations (2)
MODERN SPORTS MEDICINE LLC
8427 E BASELINE RD, SUITE 101
MESA, AZ 852094381
6128885224
EMPOWERME REHABILITATION LLC
9000 E SAN VICTOR DR
SCOTTSDALE, AZ 852585051
6232997784
Source: CMS National Downloadable File, September 2026.