Provider Demographics
NPI:1841436250
Name:SAFRANSKI, PAIGE RENEE (CTRS)
Entity type:Individual
Prefix:MS
First Name:PAIGE
Middle Name:RENEE
Last Name:SAFRANSKI
Suffix:
Gender:F
Credentials:CTRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 E 28TH ST
Mailing Address - Street 2:MAIL ROUTE 12213
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407-3723
Mailing Address - Country:US
Mailing Address - Phone:612-863-5712
Mailing Address - Fax:612-863-5224
Practice Address - Street 1:800 E 28TH STREET
Practice Address - Street 2:MAIL ROUTE 12213
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55407
Practice Address - Country:US
Practice Address - Phone:612-863-5712
Practice Address - Fax:612-863-5224
Is Sole Proprietor?:No
Enumeration Date:2009-01-07
Last Update Date:2009-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN41889225800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist