Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kallie J Blaine, DPT

Individual provider Physical Therapist · NPI 1639459431

Kallie J Blaine, DPT is a Physical Therapist in Andover, Minnesota. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1574 154th Ave NW
Andover, MN 55304-4788
Phone: (763) 443-8108
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1639459431
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 24, 2011
Last updated in NPPESOctober 18, 2016

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