Graduated: 2013
NPI: 1891129425
Practice Locations (2)
ACTIVE FEET, FOOT AND ANKLE HEALTH CENTER
6625 LYNDALE AVE S, SUITE 105
RICHFIELD, MN 554232673
6127888778
IN HOUSE SENIOR SERVICES LLC
6625 LYNDALE AVE S, SUITE 105
RICHFIELD, MN 554232673
6122438999
Source: CMS National Downloadable File, September 2026.