Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brent Sissom, CRT

Individual provider Radiologic Technologist · NPI 1730331240

Brent Sissom, CRT is a Radiologic Technologist in Puyallup, Washington. Licensed in Washington. Registered with an NPI since 2008.

Licensed in
WA
In the registry since
2008

Practice location Address checks out

1519 3rd St SE Ste 103
Puyallup, WA 98372-3742
Phone: (253) 841-8939
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiologic Technologist (primary) Taxonomy 247100000X · Licence RT00003985 (WA)

Record details

NPI number1730331240
Entity typeIndividual (Type 1)
GenderMale
Credentials CRT
Sole proprietorNo
NPI enumeratedOctober 15, 2008
Last updated in NPPESOctober 15, 2008