Graduated: 2020
NPI: 1700498508
Practice Locations (2)
APTIVA HEALTH
10100 LINN STATION RD, SUITE 1A
LOUISVILLE, KY 402233861
5029090772
ATHLETICO LTD
6413 NEW DUTCHMAN PKWY
LOUISVILLE, KY 402053339
5026943500
Source: CMS National Downloadable File, September 2026.