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

Stacy Ann Kennelly, MAPT

Individual provider Physical Therapist · NPI 1528261989

Stacy Ann Kennelly, MAPT is a Physical Therapist in Superior, Wisconsin. Licensed in Minnesota and Wisconsin. Registered with an NPI since 2007.

Licensed in
MN, WI
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

1612 N 37th St
Superior, WI 54880
Phone: (715) 392-5144
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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 6496024 (WI)
Physical Therapist Taxonomy 225100000X · Licence 5371 (MN)

Record details

NPI number1528261989
Entity typeIndividual (Type 1)
GenderFemale
Credentials MAPT
Sole proprietorNo
NPI enumeratedJune 6, 2007
Last updated in NPPESJuly 8, 2007

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