Healthcare Provider Details

I. General information

NPI: 1396030615
Provider Name (Legal Business Name): CASSANDRA DEE MCGUIRE D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2011
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8120 PENN AVE S STE 580A
BLOOMINGTON MN
55431-1358
US

IV. Provider business mailing address

8120 PENN AVE S STE 580A
BLOOMINGTON MN
55431-1358
US

V. Phone/Fax

Practice location:
  • Phone: 952-884-1850
  • Fax:
Mailing address:
  • Phone: 952-213-4008
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number5548
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: