Individual
DORIS LYNN SISK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7410 SWITZER RD, SHAWNEE, KS 66214
(806) 217-0902
Mailing address
9415 GODDARD ST, OVERLAND PARK, KS 66214-2122
(806) 217-0902
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT115065
TX
Other
Enumeration date
04/25/2018
Last updated
04/25/2018
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