Provider Demographics
NPI:1750007217
Name:HIERLINGER, CASSANDRA LOUISE
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:LOUISE
Last Name:HIERLINGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18145 ERKIUM ST NW
Mailing Address - Street 2:
Mailing Address - City:RAMSEY
Mailing Address - State:MN
Mailing Address - Zip Code:55303-9733
Mailing Address - Country:US
Mailing Address - Phone:612-516-0671
Mailing Address - Fax:
Practice Address - Street 1:1301 33RD ST S STE 210
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56301-9604
Practice Address - Country:US
Practice Address - Phone:320-240-6955
Practice Address - Fax:320-240-8089
Is Sole Proprietor?:No
Enumeration Date:2022-10-17
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN12891225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist