Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SCOTTIE RAY SISSOM, BSPT
ActiveMR. SCOTTIE RAY SISSOM, BSPT is a Physical Therapy Assistant healthcare provider located in MCMINVILLE, Tennessee. NPI 1699755991 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · MCMINVILLE, TN
Registration Details
- NPI Number
- 1699755991
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 20, 2006 (20.570879224424 yrs)
- Last Updated
- Jul 8, 2007
- License
-
5084 (TN)
Practice Information
- Address
-
825 NORTH CHANCERY STMCMINVILLE, TN, 37111Browse TN providers · Browse ZIP 37111
- Phone
- 9314741900
- Fax
- 9314741904
- Primary Specialty
-
Physical Therapy Assistant
225100000X
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.