Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 2000
NPI: 1376574665
Practice Locations (1)
ADVANCED PT LLC
3460 N RIDGE RD, 80 ADVANCED PT AQUATIC REHAB
WICHITA, KS 672051223
3162020340
Source: CMS National Downloadable File, September 2026.