Healthcare Provider Details

I. General information

NPI: 1750450565
Provider Name (Legal Business Name): KENDRA MARIE SNYDER DPT CSCS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

168 S INDUSTRIAL DR
SALINE MI
48176-9175
US

IV. Provider business mailing address

125 W OAKBROOK DR
ANN ARBOR MI
48103-2254
US

V. Phone/Fax

Practice location:
  • Phone: 734-944-5600
  • Fax: 734-944-5607
Mailing address:
  • Phone: 734-944-5600
  • Fax: 734-944-5607

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5501012947
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: