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General NPI Number Information
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NPI Number | 1528989043
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Entity Type | Individual
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Provider Name | KIRSTEN LEIGH SHELTON PTA.0015856
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Gender | Female
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Dates
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Enumeration Date | 07/22/2026
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Last Update Date | 07/22/2026
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Provider Practice Location Address
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Address Line | 5825 DELMONICO DR STE 100
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City | COLORADO SPRINGS
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State | CO
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Zip | 80919-2243
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Country | US
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Telephone | 719-257-4240
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Fax |
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Provider Business Mailing Address
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Address Line | 706 RALSTON CT APT B
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-8820
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Country | US
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Telephone | 773-865-2363
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 0015856
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License Number State | CO
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