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

Leighton Michael Penn

Individual provider Physical Therapy Assistant · NPI 1912707845

Leighton Michael Penn is a Physical Therapy Assistant in Maple Grove, Minnesota. Licensed in Minnesota. Registered with an NPI since 2025.

Licensed in
MN
In the registry since
2025

Practice location Address checks out

7767 Elm Creek Blvd N Ste 160
Maple Grove, MN 55369-7078
Phone: (763) 201-8191
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence A2692 (MN)

Record details

NPI number1912707845
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 18, 2025
Last updated in NPPESMarch 18, 2025
Certification dateMarch 18, 2025
Mailing address7767 Elm Creek Blvd N Ste 160, Maple Grove, MN 55369-7078

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