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

Mr. Brett Martin Kisro, LAT

Individual provider Athletic Trainer · NPI 1306046461

Mr. Brett Martin Kisro, LAT is an Athletic Trainer in Chesterfield, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2007
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

226 S Woods Mill Rd
Chesterfield, MO 63017-3662
Phone: (314) 205-6185
Fax: (314) 205-6214
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2001016350 (MO)

Record details

NPI number1306046461
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT
Sole proprietorYes
NPI enumeratedJuly 18, 2007
Last updated in NPPESJuly 18, 2007

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