Provider Demographics
NPI:1225368061
Name:GROFF, CASSIE JANE (PT)
Entity Type:Individual
Prefix:MRS
First Name:CASSIE
Middle Name:JANE
Last Name:GROFF
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:CASSIE
Other - Middle Name:JANE
Other - Last Name:BRAEGELMANN
Other - Suffix:II
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 209036
Mailing Address - Street 2:SHRINERS HOSPITALS FOR CHILDREN @ TWIN CITIES
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75320-9036
Mailing Address - Country:US
Mailing Address - Phone:813-281-8478
Mailing Address - Fax:813-281-8113
Practice Address - Street 1:2025 E RIVER PARKWAY
Practice Address - Street 2:SHRINERS HOSPITAL FOR CHILDREN
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55414
Practice Address - Country:US
Practice Address - Phone:612-596-6100
Practice Address - Fax:612-339-5954
Is Sole Proprietor?:No
Enumeration Date:2009-12-29
Last Update Date:2011-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN#66992251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics