Individual
EMILY CALLISTA CISSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
651 HEISMAN DRIVE, AUBURN, AL 36849-1404
(517) 898-5173
Mailing address
4777 MOHICAN LN, OKEMOS, MI 48864-1404
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2251
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/02/2018
Last updated
07/17/2020
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