Medical school: INDIANA MEDICAL COLLEGE, SCHOOL OF MEDICINE OF PURDUE UNIVERSITY
Graduated: 2018
NPI: 1467930362
Practice Locations (1)
PROTAILORED PHYSICAL THERAPY LLC
12722 TONKEL RD, SUITE 102
FORT WAYNE, IN 468458201
2607390300
Source: CMS National Downloadable File, September 2026.