Medical school: CLEVELAND CHIROPRACTIC COLLEGE - KANSAS CITY
Graduated: 2001
NPI: 1508846916
Practice Locations (1)
TRI-STATE PHYSICIANS AND PHYSICAL THERAPY CLINIC PC
3900 DAKOTA AVE, SUITE 6
SOUTH SIOUX CITY, NE 687763696
4024945173
Source: CMS National Downloadable File, September 2026.