TIMOTHY SISSOM

SHELBYVILLE, TN
NPI1558896530
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AL  1750)
Enumeration Date2017-04-27
Last Update Date2017-04-27
Business Address
-- TIMOTHY SISSOM
115 CARLISLE AVE
SHELBYVILLE, TN 37160-3811
Phone number: 615-956-1123
Mailing Address
-- TIMOTHY SISSOM
115 CARLISLE AVE
SHELBYVILLE, TN 37160-3811
Phone number:
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