MEDICARE: MR. ADAM JON SNYDER LMT

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	011510	GA

General Provider Information

NPI Number	:	1801766688
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ADAM JON SNYDER LMT

Provider Business Mailing Address
First Line	:	1534 DAWSON RD
Second Line	:
City	:	ALBANY
State	:	GA
Zip	:	31707-3437
Country	:	US
Telephone Number	:	229-435-9008
Fax Number	:

Provider Business Practice Location Address
First Line	:	1534 DAWSON RD
Second Line	:
City	:	ALBANY
State	:	GA
Zip	:	31707-3437
Country	:	US
Telephone Number	:	229-435-9008
Fax Number	:

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

Provider Enumeration Date	:	11/07/2025
Last Update Date	:	11/07/2025

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