Medical school: WESTERN STATES COLLEGE OF CHIROPRACTIC
Graduated: 2006
NPI: 1982741195
Practice Locations (2)
30544 HWY 200, SUITE 330
PONDERAY, ID 838525005
2082651900
KALISPEL INDIAN COMMUNITY OF THE KALISPEL RESERVATION WASHINGTON
1821 LECLERC RD N
CUSICK, WA 991195015
5094477111
Source: CMS National Downloadable File, September 2026.