MEDICARE: MRS. FRANCES M CAPORALE-SNYDER

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
1	225700000X	Massage Therapist	10171	SC

General Provider Information

NPI Number	:	1588252092
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. FRANCES M CAPORALE-SNYDER

Provider Business Mailing Address
First Line	:	147 RIVER COUNTRY DR
Second Line	:
City	:	CONWAY
State	:	SC
Zip	:	29526-7383
Country	:	US
Telephone Number	:	843-424-2159
Fax Number	:

Provider Business Practice Location Address
First Line	:	215 RONNIE CT STE A
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29579-4204
Country	:	US
Telephone Number	:	843-796-2729
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2021
Last Update Date	:	01/10/2021

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