Medical school: UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated: 1998
NPI: 1881788321
Practice Locations (1)
WINGHAVEN MANUAL PHYSICAL THERAPY
21 MEADOWS CIRCLE DR, SUITE 320
LAKE SAINT LOUIS, MO 633674110
6366250408
Source: CMS National Downloadable File, September 2026.