Graduated: 2021
NPI: 1417626516
Practice Locations (2)
ATHLETICO LTD
6403 N PROSPECT AVE, SUITE 450
GLADSTONE, MO 641191545
8166563698
FIT MUSCLE AND JOINT CLINIC LLC
121 N DEAN AVE, SUITE 102
RAYMORE, MO 640838398
8164415656
Source: CMS National Downloadable File, September 2026.