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Search › Missouri › 225200000X

Dennis Sissom, LPTA

NPI 1528669827 · on the registry since 2020 · sole proprietor

Practice

Address
600 Breeze Park Dr
Weldon Spring, MO 63304
Phone
(636) 229-5996
Fax
(636) 720-3388
Organisation at this address
Lutheran Senior Services
Lutheran Senior Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-11-03

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