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

Mrs. Kelly E. Sidler, PTA22900

Individual provider Physical Therapy Assistant · NPI 1649552241

Mrs. Kelly E. Sidler, PTA22900 is a Physical Therapy Assistant in Lakeland, Florida. Practices as a sole proprietor. Licensed in Florida and Georgia.

Licensed in
FL, GA
In the registry since
2011
Specialties on file
2

Practice location Address checks out

1325 Grasslands Blvd
Lakeland, FL 33803-5405
Phone: (863) 413-0908
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 22900 (FL)
Physical Therapy Assistant Taxonomy 225200000X · Licence PTA002232 (GA)

Record details

NPI number1649552241
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA22900
Sole proprietorYes
NPI enumeratedSeptember 9, 2011
Last updated in NPPESDecember 3, 2021
Certification dateDecember 3, 2021

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