Healthcare Provider Details

I. General information

NPI: 1902521958
Provider Name (Legal Business Name): SARAH SNYDER LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/11/2022
Last Update Date: 10/11/2022
Certification Date: 10/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1114 S WINTER ST STE F4
ADRIAN MI
49221-4212
US

IV. Provider business mailing address

1281 SUTTON RD
ADRIAN MI
49221-9377
US

V. Phone/Fax

Practice location:
  • Phone: 517-270-0672
  • Fax:
Mailing address:
  • Phone: 517-270-0672
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number7501014233
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: