JEFFREY ROBERT KENNEDY PT NPI 1235392887

NPI Information

  • NPI: 1235392887
  • Provider Name: JEFFREY ROBERT KENNEDY, PT
  • Classification: Physical Therapist - 2251S0007X
  • Specialization: Sports
  • Entity Type: Individual
  • Address: 1604 1ST ST S
    WILLMAR, MN
    ZIP 56201
  • Phone: (320) 231-5000

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NPI Details

Jeffrey Robert Kennedy, PT is a sports physical therapist in Willmar, MN. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement. Jeffrey Robert Kennedy, PT NPI is 1235392887. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1604 1ST ST S
WILLMAR, MN
ZIP 56201-243
Phone: (320) 231-5000

The enumeration date for this NPI number is 7/3/2008 and was last updated on 7/3/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12251S0007XPhysical TherapistSportsMINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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