Healthcare Provider Details

I. General information

NPI: 1598637720
Provider Name (Legal Business Name): JENNA MARIE SNYDER PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5589 OKEECHOBEE BLVD
WEST PALM BEACH FL
33417-4486
US

IV. Provider business mailing address

5589 OKEECHOBEE BLVD
WEST PALM BEACH FL
33417-4486
US

V. Phone/Fax

Practice location:
  • Phone: 561-376-2573
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT43792
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: