Provider Demographics
NPI:1932910742
Name:SCHAD, CONNOR MICHAEL (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:CONNOR
Middle Name:MICHAEL
Last Name:SCHAD
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6900 MEADOWBROOK BLVD APT 471
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55426-4641
Mailing Address - Country:US
Mailing Address - Phone:320-309-8771
Mailing Address - Fax:
Practice Address - Street 1:9505 BLACKOAKS LN N
Practice Address - Street 2:
Practice Address - City:MAPLE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55311-1229
Practice Address - Country:US
Practice Address - Phone:763-420-4111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-20
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist