IndividualActive
Anthony Mcconnon
NPI 1578043063 · Physical Therapist · Fargo, ND
Provider details
- NPI number
- 1578043063
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 11351 (MN)
Practice location
2829 University Dr S Ste 202
Fargo, ND 58103-6050
Phone: (701) 478-7868
Fax: (701) 356-7005
Mailing address
500 Cross St
Big Stone City, SD 57216-8237
Registry dates
- Enumerated
- 2018-08-15
- Last updated
- 2022-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.