Provider Demographics
NPI:1447823117
Name:STENSGARD, KARISSA A (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:KARISSA
Middle Name:A
Last Name:STENSGARD
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:KARISSA
Other - Middle Name:A
Other - Last Name:HANSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10900 WAYZATA BLVD STE 640
Mailing Address - Street 2:
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55305-5602
Mailing Address - Country:US
Mailing Address - Phone:952-232-6252
Mailing Address - Fax:952-232-6252
Practice Address - Street 1:9825 HOSPITAL DR STE 205
Practice Address - Street 2:
Practice Address - City:MAPLE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55369-4480
Practice Address - Country:US
Practice Address - Phone:763-587-7000
Practice Address - Fax:763-587-7015
Is Sole Proprietor?:No
Enumeration Date:2021-07-21
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA106901225100000X
MN12980225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist