Individual
MELANIE SOPHIA SISCOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
13157 STATE LINE RD, KANSAS CITY, MO 64145-1650
(816) 941-2550
Mailing address
15659 S HALLET ST, OLATHE, KS 66062-7705
(913) 956-8751
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2017026063
MO
Other
Enumeration date
08/01/2017
Last updated
08/01/2017
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