Individual
DERRICK LANE SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003875A
IN
225200000X
Physical Therapy Assistant
A02857
KY
225200000X
Physical Therapy Assistant
PTA011167
OH
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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