Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2009
NPI: 1932984036
Practice Locations (1)
ACTIVE THERAPY MN
10300 HENNEPIN TOWN RD
EDEN PRAIRIE, MN 553475100
7327038504
Source: CMS National Downloadable File, September 2026.
This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2009
NPI: 1932984036
ACTIVE THERAPY MN
10300 HENNEPIN TOWN RD
EDEN PRAIRIE, MN 553475100
7327038504
Source: CMS National Downloadable File, September 2026.