Individual
THOMAS EMERY SNYDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
210 E CENTRE STREET, PORTAGE, MI 49002-4900
(269) 327-3689
(269) 327-3689
Mailing address
55691 BUCKHORN ROAD, THREE RIVERS, MI 49093
(269) 816-8780
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501001010
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7501001010
STATE OF MICHIGAN
MI
Enumeration date
08/21/2017
Last updated
08/21/2017
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