NPI 1386315794

Kelly Leigh Kierstead, PTA

Practitioner Physical Therapy Assistant Canon City, CO

Practice location

Address: 515 Fairview Ave, Canon City, CO 81212-2863
Phone: (719) 275-0665
Mailing address: PO Box 161, Rockvale, CO 81244-0161

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA.0012399 (CO)

Other Physical Therapy Assistant providers in Colorado →

Registry record

NPI: 1386315794
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Sep 2021
Record last updated: 24 Sep 2021

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.