Graduated: 1995
NPI: 1376528059
Practice Locations (2)
PRO-ACTIVE SPORTSMED PLLC
2964 LIMITED LN NW, SUITE A
OLYMPIA, WA 985024577
3607047276
PRO-ACTIVE SPORTSMED PLLC
111 TUMWATER BLVD SE, SUITE 113
TUMWATER, WA 985016422
3605283300
Source: CMS National Downloadable File, September 2026.