Healthcare Provider Details

I. General information

NPI: 1629434295
Provider Name (Legal Business Name): COREY SNYDER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2016
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 W CENTRAL AVE
TOLEDO OH
43606-3834
US

IV. Provider business mailing address

8600 S WILKINSON WAY
PERRYSBURG OH
43551-2598
US

V. Phone/Fax

Practice location:
  • Phone: 419-291-8370
  • Fax: 419-479-3290
Mailing address:
  • Phone: 419-872-7730
  • Fax: 419-874-5972

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251E1200X
TaxonomyErgonomics Physical Therapist
License Number11162
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number11162
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: