Kierstead, Kelly Leigh

Kierstead, Kelly Leigh is an individual health care provider with primary practice located at 515 Fairview Ave , Canon City CO 81212-2863. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Kierstead, Kelly Leigh can be contacted via phone (719) 275-0665.

Contact Information

Primary practice address
515 Fairview Ave Canon City CO 81212-2863
Phone: (719) 275-0665
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA.0012399 Colorado

Profile Details

NPI number 1386315794
LBN Legal business name Kierstead, Kelly Leigh
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2021
Last updated Sep 24th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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