IndividualActive
Brent Sissom, CRT
NPI 1730331240 · Radiologic Technologist · Puyallup, WA
Provider details
- NPI number
- 1730331240
- Entity type
- Individual
- Primary specialty
- Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- CRT
- Sex
- Male
- Sole proprietor
- No
- License
- RT00003985 (WA)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
1519 3rd St Se
Suite 103
Puyallup, WA 98372-3742
Phone: (253) 841-8939
Approximate (ZIP-level) locationGet directions
Mailing address
1519 3rd St Se
Puyallup, WA 98372-3742
Registry dates
- Enumerated
- 2008-10-15
- Last updated
- 2008-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.