Medical school: UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated: 2024
NPI: 1578436770
Practice Locations (1)
PROFORMANCE PHYSICAL THERAPY AND SPORTS REHAB, P.C.
4220 LUCILE DR, SUITE 3
LINCOLN, NE 685066004
4023279000
Source: CMS National Downloadable File, September 2026.