Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRETT MARTIN KISRO, LAT
Active Sole ProprietorMR. BRETT MARTIN KISRO, LAT is a Athletic Trainer healthcare provider located in CHESTERFIELD, Missouri. NPI 1306046461 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · CHESTERFIELD, MO
Registration Details
- NPI Number
- 1306046461
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 18, 2007 (19.032997604322 yrs)
- Last Updated
- Jul 18, 2007
- License
-
2001016350 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
226 S WOODS MILL RDCHESTERFIELD, MO, 630173662Browse MO providers · Browse ZIP 63017
- Phone
- 3142056185
- Fax
- 3142056214
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in CHESTERFIELD, MO
| Name | Credential | NPI |
|---|---|---|
| MS. KAREN DENISE FENNELL | MS, ATC, LAT | 1164416152 |
| MR. JAMES MICHAEL CRAGHEAD | ATC | 1215038492 |
| MR. SHAWN CHRISTIAN GARLOCK | ATC | 1417015561 |
| MR. PHILIP GERALD BUSS | LAT | 1336357359 |
| MS. BONNIE L RAULS | ATC | 1417115460 |
| DEVON BROOKE GUCKES | MSED, ATC | 1073801833 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.