Medical school: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated: 1993
Also: SPORTS MEDICINE
NPI: 1649237504
Practice Locations (2)
SELECT PHYSICAL THERAPY HOLDINGS INC
1104 W MAIN ST
BENTON, IL 628121565
6184393399
DEACONESS ILLINOIS SPECIALTY CLINIC, INC.
3111 BROADWAY ST
MOUNT VERNON, IL 628642338
6182410300
Source: CMS National Downloadable File, September 2026.