Individual
AMANDA SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16618W SISSABAGAMA RD, STONE LAKE, WI 54876-8908
(715) 558-6360
Mailing address
16618W SISSABAGAMA RD, STONE LAKE, WI 54876-8908
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
MN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MN
Other
Enumeration date
04/25/2015
Last updated
04/25/2015
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