Provider Demographics
NPI:1578451043
Name:SUGGS, KESTI CORDOVA (OTR)
Entity type:Individual
Prefix:
First Name:KESTI
Middle Name:CORDOVA
Last Name:SUGGS
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13039 FALCON HWY
Mailing Address - Street 2:
Mailing Address - City:PEYTON
Mailing Address - State:CO
Mailing Address - Zip Code:80831-8024
Mailing Address - Country:US
Mailing Address - Phone:719-209-3365
Mailing Address - Fax:719-434-9926
Practice Address - Street 1:13039 FALCON HWY
Practice Address - Street 2:
Practice Address - City:PEYTON
Practice Address - State:CO
Practice Address - Zip Code:80831-8024
Practice Address - Country:US
Practice Address - Phone:719-310-8481
Practice Address - Fax:719-434-9926
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOT.0008925225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist