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NPI Code Detail

MEDICARE: MS. STACI ELIZABETH SNYDER MPT

MEDICARE:  MS. STACI ELIZABETH SNYDER  MPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT0000007398TN

General Provider Information

NPI Number : 1528136272
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. STACI ELIZABETH SNYDER MPT
Provider Business Mailing Address
First Line : PO BOX 6167
Second Line :
City : MARYVILLE
State : TN
Zip : 37802-6167
Country : US
Telephone Number : 865-977-8007
Fax Number : 865-977-4072
Provider Business Practice Location Address
First Line : 829 E LAMAR ALEXANDER PKWY
Second Line :
City : MARYVILLE
State : TN
Zip : 37804-5001
Country : US
Telephone Number : 865-977-8282
Fax Number : 865-982-0143
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2006
Last Update Date : 07/08/2007

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Directions to “ MS. STACI ELIZABETH SNYDER MPT” Practice Location

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