Healthcare Provider Details

I. General information

NPI: 1831024017
Provider Name (Legal Business Name): COLIN GARY TEICHERT DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 OAK ST N
CHASKA MN
55318-2072
US

IV. Provider business mailing address

950 ALYSHEBA RD APT 304
SHAKOPEE MN
55379-5010
US

V. Phone/Fax

Practice location:
  • Phone: 952-448-9303
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: