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NPI Code Detail

MEDICARE: WHITNEY M. SNYDER AT, ATC, CES

MEDICARE:   WHITNEY M. SNYDER  AT, ATC, CES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic Trainer003599OH

General Provider Information

NPI Number : 1093076507
Entity Type Code : Individual
Provider Name (Legal Business Name) : WHITNEY M. SNYDER AT, ATC, CES
Provider Business Mailing Address
First Line : 1972 CLARK AVE
Second Line :
City : ALLIANCE
State : OH
Zip : 44601-3929
Country : US
Telephone Number : 330-829-6809
Fax Number :
Provider Business Practice Location Address
First Line : 1972 CLARK AVE
Second Line :
City : ALLIANCE
State : OH
Zip : 44601-3929
Country : US
Telephone Number : 330-829-6809
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2012
Last Update Date : 05/31/2012

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Directions to “ WHITNEY M. SNYDER AT, ATC, CES” Practice Location

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