Healthcare Provider Details

I. General information

NPI: 1881524023
Provider Name (Legal Business Name): SYDNEY OLIVIA SNYDER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6227 N RIDGE RD
MADISON OH
44057-2570
US

IV. Provider business mailing address

6227 N RIDGE RD
MADISON OH
44057-2570
US

V. Phone/Fax

Practice location:
  • Phone: 440-428-2565
  • Fax: 440-417-0192
Mailing address:
  • Phone: 440-428-2565
  • Fax: 440-417-0192

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number05526
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: