IndividualActive
Travis Kierstead
NPI 1295022671 · Physical Therapist · Plymouth, MN
Provider details
- NPI number
- 1295022671
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 8879 (MN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
18872 42nd Ave N
Plymouth, MN 55446-3068
Phone: (952) 807-7312
Fax: (833) 499-1896
Street-level locationGet directions
Mailing address
18872 42nd Ave N
Plymouth, MN 55446-3068
Registry dates
- Enumerated
- 2011-07-06
- Last updated
- 2021-01-18
- Certified
- 2021-01-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.