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

Kelli Ann Henricksen, DPT

Individual provider Physical Therapist · NPI 1790931616

Kelli Ann Henricksen, DPT is a Physical Therapist in Private Practice in Olympia, Washington. Qualified in 2008, 18 years ago. Accepts Medicare assignment. Licensed in Washington.

Years since qualifying
18
Licensed in
WA
In the registry since
2008
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

3721 Griffin Ln SE Ste 101
Olympia, WA 98501-2192
Phone: (360) 789-5384
Fax: (360) 918-9713
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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 PT60028377 (WA)

Record details

NPI number1790931616
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 12, 2008
Last updated in NPPESApril 28, 2025
Certification dateApril 28, 2025
Mailing address4250 Martin Way E Ste 105, Pmb 236, Olympia, WA 98516-5317

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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