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NPI Code Detail

MEDICARE: CATHERINE GRADY

MEDICARE: CATHERINE GRADY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianMN

General Provider Information

NPI Number : 1013848548
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE GRADY
Provider Business Mailing Address
First Line : 10180 VIKING DR # 300
Second Line :
City : EDEN PRAIRIE
State : MN
Zip : 55344-7207
Country : US
Telephone Number : 952-567-0504
Fax Number :
Provider Business Practice Location Address
First Line : 10180 VIKING DR # 300
Second Line :
City : EDEN PRAIRIE
State : MN
Zip : 55344-7207
Country : US
Telephone Number : 952-567-0504
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2026
Last Update Date : 05/25/2026

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Directions to “ CATHERINE GRADY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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