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

Kristen Michelle Henneman, PT

Individual provider Physical Therapist · NPI 1760650113

Kristen Michelle Henneman, PT is a Physical Therapist in Private Practice in Woodbury, Minnesota. Qualified in 2004, 22 years ago. Practices with Tria Orthopaedic Center LLC, a 506-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
22
Licensed in
MN
In the registry since
2008
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1625 Radio Dr Ste 220
Woodbury, MN 55125
Phone: (651) 241-3626
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3580 Hazel Trl Unit A, Woodbury, MN 55129-8336 — (612) 202-0725

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 7440 (MN)

Record details

NPI number1760650113
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedFebruary 19, 2008
Last updated in NPPESJuly 31, 2018

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Tria Orthopaedic Center Llc — 506 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Woodbury