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

Miss. Kristin Diane Wodzinski Andreae, MS, PT

Individual provider Physical Therapist · NPI 1205966165

Miss. Kristin Diane Wodzinski Andreae, MS, PT is a Physical Therapist in Private Practice in Marquette, Michigan. Qualified in 2002, 24 years ago. Practices with Superior Active Partners LLC, a 10-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
24
Licensed in
MI
In the registry since
2007
What do these letters mean?
MS — Master of Science
A graduate science degree.
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1455 W Fair Ave
Marquette, MI 49855-2654
Phone: (616) 460-0689
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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 5501011205 (MI)

Record details

NPI number1205966165
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , PT
Sole proprietorNo
NPI enumeratedMarch 7, 2007
Last updated in NPPESJune 2, 2016

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Superior Active Partners Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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