Brett Kisro, LAT

NPI 1306046461 · on the registry since 2007 · sole proprietor

Practice

Address: 226 S Woods Mill Rd
Chesterfield, MO 63017
Phone: (314) 205-6185
Fax: (314) 205-6214
Organisation at this address: Primedstl, Llc
Coury Spine Llc
Internacare Llc
Ent Associates, Inc
Wuca - Woodsmill Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 91

Registry record

Primary taxonomy: Athletic Trainer
2255A2300X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri