Timothy Sissom
NPI #1558896530 in Shelbyville, Tennessee
Provider Information
- NPI Number
- 1558896530
- Entity Type
- Individual
- Name
- Timothy Sissom
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Apr 27, 2017
- Last Updated
- Apr 27, 2017
Practice Location
- Address
- 115 CARLISLE AVE
- City
- Shelbyville
- State
- Tennessee
- ZIP Code
- 37160-3811
- Phone
- (615) 956-1123
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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