MEDICARE: GABRIELLE GRAU-KAZLAUSKAS DPT

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
1	225100000X	Physical Therapist	12378	MN

General Provider Information

NPI Number	:	1760152714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIELLE GRAU-KAZLAUSKAS DPT

Provider Business Mailing Address
First Line	:	1460 CURVE CREST BLVD W
Second Line	:
City	:	STILLWATER
State	:	MN
Zip	:	55082-6070
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7650 CURRELL BLVD STE 260
Second Line	:
City	:	WOODBURY
State	:	MN
Zip	:	55125-8209
Country	:	US
Telephone Number	:	952-345-3000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2021
Last Update Date	:	01/15/2026

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