Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 1996
NPI: 1851198410
Practice Locations (1)
ICT THERAPYWORKS, LLC
8100 E 22ND ST N, BLDG 2100 SUITE 1
WICHITA, KS 672262350
3162606889
Source: CMS National Downloadable File, September 2026.