Graduated: 2022
NPI: 1396589008
Practice Locations (2)
ATHLETICO LTD
3134 MANAWA CENTRE DR
COUNCIL BLUFFS, IA 515017690
7123088038
IDEAL PHYSICAL THERAPY OF TEXAS LLC
2600 W 7TH ST, SUITE 137
FORT WORTH, TX 761079316
6822336462
Source: CMS National Downloadable File, September 2026.