Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 2003
NPI: 1417122847
Practice Locations (3)
PHYSICAL THERAPY SPINE AND SPORTS MEDICINE LLC
15425 MANCHESTER RD
BALLWIN, MO 630113077
6362206969
PHYSICAL THERAPY SPINE AND SPORTS MEDICINE LLC
15425 MANCHESTER RD, SUITE 28
BALLWIN, MO 630113077
6362206969
AGILITY ORTHOPAEDICS, LLC
555 N NEW BALLAS RD, SUITE 175
SAINT LOUIS, MO 631416825
3147862663
Source: CMS National Downloadable File, September 2026.