Individual
JEFFREY SNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
1050 W ELM AVE, SUITE #130, HERMISTON, OR 97838-2700
(541) 567-5678
(541) 567-2110
Mailing address
PO BOX 307, BOUNTIFUL, UT 84011-0307
(888) 700-6907
(801) 294-6917
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3411
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158376
—
OR
Enumeration date
08/23/2005
Last updated
11/13/2007
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