Dr. Christopher Michael Disisto Sr., PT DPT
Physical Therapist, Orthopedic in Batesburg Leesville, SC. Individual provider (NPI-1).
NPI number1760628002
StatusActive
Last updated in NPPESDec 17, 2024
Details
- NPI
- 1760628002
- Entity type
- Individual (NPI-1)
- Name
- Dr. Christopher Michael Disisto Sr.
- Credential
- PT DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 16, 2008
- Certification date
- Dec 12, 2024
- Last updated
- Dec 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251X0800X | Physical Therapist, Orthopedic | 10902 | SC | Yes |
Practice location
141 E Church St Ste NBatesburg Leesville, SC 29070-7066
Phone 803-532-3335 · Fax 803-532-3337
Mailing address
141 E Church St Ste NBatesburg Leesville, SC 29070-7066
Phone 803-532-3335 · Fax 803-532-3337
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