Graduated: 2019
NPI: 1457081051
Practice Locations (2)
VINE PERFORMANCE THERAPY LLC
400 LAZELLE RD, SUITE 10
COLUMBUS, OH 432402077
7409367774
FITNESS MATTERS INC.
5150 BRADENTON AVE, SUITE C
DUBLIN, OH 430177591
6143626571
Source: CMS National Downloadable File, September 2026.