MEDICARE: MRS. DEBORAH L SNYDER P.T.

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
1	225100000X	Physical Therapist	2555	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	078T5	OTHER	NC	BCBS OF NC PROVIDER #
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619917176
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DEBORAH L SNYDER P.T.

Provider Business Mailing Address
First Line	:	2001 DAY DR
Second Line	:
City	:	HAMPTONVILLE
State	:	NC
Zip	:	27020-8173
Country	:	US
Telephone Number	:	336-428-4684
Fax Number	:

Provider Business Practice Location Address
First Line	:	560 JOHNSON RIDGE RD
Second Line	:
City	:	ELKIN
State	:	NC
Zip	:	28621-2420
Country	:	US
Telephone Number	:	336-835-7802
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2006
Last Update Date	:	05/22/2026

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