MEDICARE: ANA M SNYDER L.M.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	225700000X	Massage Therapist	MT-00526P	AZ

General Provider Information

NPI Number	:	1952777435
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANA M SNYDER L.M.T.

Provider Business Mailing Address
First Line	:	3820 W EL CAMINO DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85051-9124
Country	:	US
Telephone Number	:	602-799-3336
Fax Number	:	602-589-6212

Provider Business Practice Location Address
First Line	:	5842 W MYRTLE AVE
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85301-1875
Country	:	US
Telephone Number	:	602-799-3336
Fax Number	:	602-589-6212

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

Provider Enumeration Date	:	08/19/2015
Last Update Date	:	08/19/2015

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