Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MARISSA LEIGH KISTNER, MS ED.
Active Sole ProprietorAthletic Trainer · FORT SALONGA, NY
Registration Details
- NPI Number
- 1861088676
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 15, 2020 (5.3511592217931 yrs)
- Last Updated
- Dec 15, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
4 MEADOWOOD LNFORT SALONGA, NY, 117682702Browse NY providers · Browse ZIP 11768
- Phone
- 6318130940
- Primary Specialty
-
Athletic Trainer
225500000X
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.