Healthcare Provider Details

I. General information

NPI: 1548186422
Provider Name (Legal Business Name): CASSANDRA SAFRANSKE DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41818 N VENTURE DR STE 120
ANTHEM AZ
85086-3189
US

IV. Provider business mailing address

41818 N VENTURE DR STE 120
ANTHEM AZ
85086-3189
US

V. Phone/Fax

Practice location:
  • Phone: 623-340-4197
  • Fax:
Mailing address:
  • Phone: 623-340-4197
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberLPT-034824
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: