Medical school: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated: 2004
NPI: 1568682649
Practice Locations (2)
BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY
300 W OAK ST
CARBONDALE, IL 629011400
6185366621
SELECT PHYSICAL THERAPY HOLDINGS INC
326 E MAIN ST
WEST FRANKFORT, IL 628962402
6189376200
Source: CMS National Downloadable File, September 2026.