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

Miss. Kimberly Anne Gustafson, PT, DPT

Individual provider Physical Therapist · NPI 1629410618

Miss. Kimberly Anne Gustafson, PT, DPT is a Physical Therapist in Maple Grove, Minnesota. Licensed in Minnesota. Registered with an NPI since 2013.

Licensed in
MN
In the registry since
2013
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

12000 Elm Creek Blvd N Ste #120
Maple Grove, MN 55369-7073
Phone: (763) 420-9960
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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 9409 (MN)

Record details

NPI number1629410618
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJuly 19, 2013
Last updated in NPPESApril 8, 2015

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