NPI 1306131990

Jeff Cysewski

Practitioner Other Technician Chattanooga, TN

Practice location

Address: 5959 Shallowford Rd Suite 443, Chattanooga, TN 37421-2285
Phone: (423) 756-2268
Fax: (423) 266-9690
Mailing address: 3255 Executive Blvd Suite 105, Beaumont, TX 77705-1051

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Tennessee →

Registry record

NPI: 1306131990
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jun 2011
Record last updated: 13 Jun 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.