Healthcare Provider Details

I. General information

NPI: 1417490780
Provider Name (Legal Business Name): SNYDER PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2016
Last Update Date: 11/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2845 S 70TH ST
LINCOLN NE
68506-6821
US

IV. Provider business mailing address

2845 S 70TH ST
LINCOLN NE
68506-6821
US

V. Phone/Fax

Practice location:
  • Phone: 402-489-1999
  • Fax: 402-489-4153
Mailing address:
  • Phone: 402-489-1999
  • Fax: 402-489-4153

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNE

VIII. Authorized Official

Name: WILLIAM WEED
Title or Position: PT
Credential:
Phone: 308-237-7388