Healthcare Provider Details

I. General information

NPI: 1225258791
Provider Name (Legal Business Name): RHONDA DEANNE SNYDER MPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2007
Last Update Date: 01/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8525 N CEDAR AVE STE 109
FRESNO CA
93720-4833
US

IV. Provider business mailing address

2596 BEVERLY AVE
CLOVIS CA
93611-5960
US

V. Phone/Fax

Practice location:
  • Phone: 559-440-9200
  • Fax: 559-440-9200
Mailing address:
  • Phone: 559-326-7437
  • Fax: 559-326-7437

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number25958
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: