Healthcare Provider Details

I. General information

NPI: 1932454048
Provider Name (Legal Business Name): KATHERINE HUNTER SNYDER L.M.T., N.C.T.M.B.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2012
Last Update Date: 07/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 E GIRARD AVE APT 2B
PHILADELPHIA PA
19125-3917
US

IV. Provider business mailing address

212 E GIRARD AVE APT 2B
PHILADELPHIA PA
19125-3917
US

V. Phone/Fax

Practice location:
  • Phone: 267-603-3009
  • Fax:
Mailing address:
  • Phone: 978-877-2900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMSG004929
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: