Krystal Grace Kennedy, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10166 Issued in MN

Practice address

901 Willmar Ave SE
Willmar, MN 56201-4604

Phone

(320) 235-9532

NPI assigned

Apr 15, 2026

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1776211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1124962857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 WILLMAR AVE SE",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562014716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 WILLMAR AVE SE",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562014604",
            "telephone_number": "320-235-9532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "KRYSTAL",
        "middle_name": "GRACE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-15",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "10166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kandiyohi County Group Homes
• Rutvij Kantharia
• Kristine Dawn Kautzman
• Jarred Kells, LADC, BS
• Jeffrey Robert Kennedy, PT
• Bruce W Keppen, M.D.
• David Lawrence Kerski, MD
• Bonnie Kerstein
• Suzanne Marie Keuseman, APRN, CNS-BC, CWOCN
• Steven L Kidd, MD

• Physical Therapist in Willmar, MN
• Providers in Willmar, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.