Healthcare Provider Details

I. General information

NPI: 1104753722
Provider Name (Legal Business Name): SAMUEL TIMOTHY SNYDER DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1837 STEESE RD
GREEN OH
44685-9555
US

IV. Provider business mailing address

3935 HARVARD AVE NW
CANTON OH
44709-1538
US

V. Phone/Fax

Practice location:
  • Phone: 234-294-0174
  • Fax:
Mailing address:
  • Phone: 330-605-4689
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberDC-05543
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: