Individual
ETHAN SNIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
719 S MAIN ST, SPRINGFIELD, TN 37172-2809
(615) 382-7979
Mailing address
109 BRENTWOOD PT, BRENTWOOD, TN 37027-7904
(615) 624-2820
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0000007431
TN
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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