Graduated: 2020
NPI: 1942824206
Practice Locations (2)
BHSM REHABILITATION LLC
37200 N GANTZEL RD, SUITE 260
QUEEN CREEK, AZ 851407387
4806908080
LIFE OUT LOUD LLC
2316 S 6TH ST, SUITE A
KLAMATH FALLS, OR 976014300
5418872030
Source: CMS National Downloadable File, September 2026.