Healthcare Provider Details

I. General information

NPI: 1407175896
Provider Name (Legal Business Name): NATALIE SNYDER MT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2010
Last Update Date: 05/25/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9299 S BROADWAY SUITE 100
HIGHLANDS RANCH CO
80129
US

IV. Provider business mailing address

9299 S BROADWAY SUITE 100
HIGHLANDS RANCH CO
80129
US

V. Phone/Fax

Practice location:
  • Phone: 303-683-3377
  • Fax: 303-683-1453
Mailing address:
  • Phone: 303-683-3377
  • Fax: 303-683-1453

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number9463
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: