Individual
DR. JEFFREY P SISCHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, LAT, PT
Contact information
Practice address
100 N EAST AVE, PT BUILDING, #116, WAUKESHA, WI 53186-3103
(262) 951-3049
Mailing address
3121 E DIANE DR, OAK CREEK, WI 53154-3483
(414) 570-1450
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10699-024
WI
2255A2300X
Athletic Trainer
Primary
137-039
WI
Other
Enumeration date
08/31/2005
Last updated
11/29/2016
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