Healthcare Provider Details

I. General information

NPI: 1144394685
Provider Name (Legal Business Name): LORINDA P. SNODDY L.M.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 W DR HICKS BLVD
FLORENCE AL
35630-6134
US

IV. Provider business mailing address

6460 CO. RD. 36
KILLEN AL
35645
US

V. Phone/Fax

Practice location:
  • Phone: 256-760-1690
  • Fax:
Mailing address:
  • Phone: 256-757-9863
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number1000
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: