Kelly Leigh Kierstead, PTA
NPI #1386315794 in Canon City, Colorado
Provider Information
- NPI Number
- 1386315794
- Entity Type
- Individual
- Name
- Kelly Leigh Kierstead, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Sep 24, 2021
- Last Updated
- Sep 24, 2021
Practice Location
- Address
- 515 FAIRVIEW AVE
- City
- Canon City
- State
- Colorado
- ZIP Code
- 81212-2863
- Phone
- (719) 275-0665
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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