Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kiebort Annas Meehan, PT, DPT

Individual provider Physical Therapist · NPI 1326663030

Dr. Kiebort Annas Meehan, PT, DPT is a Physical Therapist in White Bear Lake, Minnesota. Practices as a sole proprietor. Licensed in Kentucky and Minnesota.

Licensed in
KY, MN
In the registry since
2020
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

955 Wildwood Rd
White Bear Lake, MN 55115-1847
Phone: (952) 835-4512
Fax: (888) 425-0398
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 12193 (MN)
Physical Therapist Taxonomy 225100000X · Licence TP2020001 (KY)

Record details

NPI number1326663030
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedJune 9, 2020
Last updated in NPPESJuly 13, 2021
Certification dateJuly 13, 2021

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