Provider Demographics
NPI:1831220805
Name:STERLING, KAY (MS,PT)
Entity type:Individual
Prefix:
First Name:KAY
Middle Name:
Last Name:STERLING
Suffix:
Gender:F
Credentials:MS,PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 774302
Mailing Address - Street 2:
Mailing Address - City:STEAMBOAT SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80477-4302
Mailing Address - Country:US
Mailing Address - Phone:970-819-5644
Mailing Address - Fax:
Practice Address - Street 1:880 AIRPORT ROAD
Practice Address - Street 2:
Practice Address - City:BRECKENRIDGE
Practice Address - State:CO
Practice Address - Zip Code:80424-5029
Practice Address - Country:US
Practice Address - Phone:970-453-4364
Practice Address - Fax:970-453-7972
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.0006074225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
COR27139Medicare UPIN
COC531768Medicare ID - Type UnspecifiedFOREVER FIT GROUP NUMBER