Graduated: 1988
NPI: 1518446202
Practice Locations (2)
MY WELLNESS TEAM LLC
1703 W 86TH ST
INDIANAPOLIS, IN 462602002
8663609355
HEALTHPRO HERITAGE REHAB AND FITNESS LLC
4940 W 56TH ST
INDIANAPOLIS, IN 462541408
3177943879
Source: CMS National Downloadable File, September 2026.