Individual
KELLY C LEID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
6489 S OURAY WAY, AURORA, CO 80016-5006
(720) 234-5187
Mailing address
6489 S OURAY WAY, AURORA, CO 80016-5006
(720) 234-5187
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6434
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80831320
—
CO
Enumeration date
08/27/2009
Last updated
08/27/2009
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