Healthcare Provider Details

I. General information

NPI: 1003536335
Provider Name (Legal Business Name): JOEL WARREN SNYDER LMT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2022
Last Update Date: 08/29/2022
Certification Date: 08/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3026 PAWLINGS FORD RD
LANSDALE PA
19446-5830
US

IV. Provider business mailing address

3026 PAWLINGS FORD RD
LANSDALE PA
19446-5830
US

V. Phone/Fax

Practice location:
  • Phone: 215-350-5569
  • Fax:
Mailing address:
  • Phone: 215-350-5569
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMSG013331
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: