Healthcare Provider Details

I. General information

NPI: 1639460199
Provider Name (Legal Business Name): ELIZABETH MAY SNYDER LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2011
Last Update Date: 05/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 POLY DR
BILLINGS MT
59102-1748
US

IV. Provider business mailing address

698 HILLCREST DR
BILLINGS MT
59105-3581
US

V. Phone/Fax

Practice location:
  • Phone: 406-670-0513
  • Fax:
Mailing address:
  • Phone: 406-534-2464
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number929
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: