Provider Demographics
NPI:1821684879
Name:TSCHIDA, STEVE MICHAEL (ATR, MED, BS)
Entity Type:Individual
Prefix:
First Name:STEVE
Middle Name:MICHAEL
Last Name:TSCHIDA
Suffix:
Gender:M
Credentials:ATR, MED, BS
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Other - Middle Name:
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Mailing Address - Street 1:6739 PINE CREST TRL S
Mailing Address - Street 2:
Mailing Address - City:COTTAGE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55016-4579
Mailing Address - Country:US
Mailing Address - Phone:651-492-5556
Mailing Address - Fax:651-848-3801
Practice Address - Street 1:6754 VALLEY VIEW RD
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55439-1761
Practice Address - Country:US
Practice Address - Phone:952-848-3116
Practice Address - Fax:651-848-3801
Is Sole Proprietor?:No
Enumeration Date:2020-12-14
Last Update Date:2020-12-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN12512255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer