Graduated: 2021
NPI: 1942978770
Practice Locations (2)
ATHLETIC AND THERAPEUTIC INSTITUTE OF BOURBONNAIS, LLC
1000 ELEVEN S, SUITE 1B
COLUMBIA, IL 622361078
6182819699
ATHLETICO LTD
14825 N OUTER 40 RD, SUITE 300
CHESTERFIELD, MO 630170002
6368121211
Source: CMS National Downloadable File, September 2026.