KAITLIN SISSON CMT NMT NPI 1104534130

NPI Information

  • NPI: 1104534130
  • Provider Name: KAITLIN SISSON, CMT, NMT
  • Classification: Preventive Medicine - 2083P0901X
  • Specialization: Public Health & General Preventive Medicine
  • Entity Type: Individual
  • Address: 7765 HEALDSBURG AVE STE 13C
    SEBASTOPOL, CA
    ZIP 95472
  • Phone: (707) 206-8569

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NPI Details

Kaitlin Sisson, CMT, NMT is a public health and general preventive medicine preventive medicine in Sebastopol, CA. The provider is public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. Kaitlin Sisson, CMT, NMT NPI is 1104534130. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7765 HEALDSBURG AVE STE 13C
SEBASTOPOL, CA
ZIP 95472-355
Phone: (707) 206-8569

The enumeration date for this NPI number is 11/8/2022 and was last updated on 11/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12083P0901XPreventive MedicinePublic Health & General Preventive Medicine90196CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
190196OTHERCALIFORNIACAMTC CERTIFICATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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