Provider Demographics
NPI:1568895530
Name:SYLVESTER, KELLI CL (PT, DPT CSCS)
Entity Type:Individual
Prefix:MS
First Name:KELLI
Middle Name:CL
Last Name:SYLVESTER
Suffix:
Gender:F
Credentials:PT, DPT CSCS
Other - Prefix:MRS
Other - First Name:KELLI
Other - Middle Name:CL
Other - Last Name:BEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT, CSCS
Mailing Address - Street 1:9242 E ARBOR CIR
Mailing Address - Street 2:APT G
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80111-5285
Mailing Address - Country:US
Mailing Address - Phone:719-337-0591
Mailing Address - Fax:
Practice Address - Street 1:5670 GREENWOOD PLAZA BLVD
Practice Address - Street 2:SUITE LL110
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2448
Practice Address - Country:US
Practice Address - Phone:303-694-9193
Practice Address - Fax:303-779-0566
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-14
Last Update Date:2015-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO12327225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist