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KRYSTAL AVERITT
NPI 1083880553
Rehabilitation Practitioner in St Louis Park, MN

Active since May 05, 2008
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426(952) 993-1000 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Jul 18, 2017, May 23, 2017 (3 updates tracked since 2017).

About Krystal Averitt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRYSTAL AVERITT (NPI 1083880553) is an individual rehabilitation practitioner in St Louis Park, Minnesota and active in the NPI registry since May 2008. She maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1083880553
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameKRYSTAL AVERITT
Location Address6500 EXCELSIOR BLVDSt Louis Park, MN 55426-4702
Mailing Address2450 Riverside AveMinneapolis, MN 55454-1450
Phone(952) 993-1000
Sole ProprietorNo
Enumeration DateMay 5, 2008
Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration
✔ NPI 1083880553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
6500 EXCELSIOR BLVD, St Louis Park, MN 55426
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Other Names 1

Former Name (1)Krystal Kivisto

Secondary Practice Location 1

Location 12450 Riverside AveMinneapolis, MN 55454-1450 · Phone (612) 672-6000

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NANCY COLE NELSON M.D.
Obstetrics & Gynecology
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-3282
DR. KATIE LYNN ANDRINAS MD, MPH
Obstetrics & Gynecology
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-3282
CARA HOULE MD
Internal Medicine
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-5000
JANET GRAYSON MD
Internal Medicine
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-6600
JEFFREY J SHULTZ
Internal Medicine (Cardiovascular Disease)
6500 EXCELSIOR BLVD, PARK NICOLLET CLINIC - HEART & VASCULAR CENTER
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-3246
MARY BETH JOHNSON OTR/L
Occupational Therapist
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-6087
MARY KATHERINE KOSANDA P.T.
Physical Therapist
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-6014
JENNIFER A DEUTZ P.T.
Physical Therapist
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-5900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Krystal Averitt's NPI number?

The NPI number for Krystal Averitt is 1083880553. It was assigned to this individual provider in the NPPES registry on May 5, 2008. The provider is also known as Krystal Kivisto.

Where is Krystal Averitt located?

Krystal Averitt practices at 6500 Excelsior Blvd, St Louis Park, MN 55426. The listed phone number is (952) 993-1000.

What is Krystal Averitt's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Krystal Averitt was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.