Graduated: 2020
NPI: 1770109597
Practice Locations (2)
MID-AMERICA ORTHOPEDICS LLC
1635 E FREEDOM ST, SUITE 900
DERBY, KS 670377701
3166309300
PHOENIX PHYSICAL THERAPY LLC
12627 E CENTRAL AVE, SUITE 308
WICHITA, KS 672062839
3162603311
Source: CMS National Downloadable File, September 2026.