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

Kelly Leigh Kierstead, PTA

Individual provider Physical Therapy Assistant · NPI 1386315794

Kelly Leigh Kierstead, PTA is a Physical Therapy Assistant in Canon City, Colorado. Licensed in Colorado. Registered with an NPI since 2021.

Licensed in
CO
In the registry since
2021
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

515 Fairview Ave
Canon City, CO 81212-2863
Phone: (719) 275-0665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA.0012399 (CO)

Record details

NPI number1386315794
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedSeptember 24, 2021
Last updated in NPPESSeptember 24, 2021
Certification dateSeptember 24, 2021

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