Individual
MRS. JENNIFER LYNN SNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
64 S STAR RD # 2, STAR, ID 83669-5497
(208) 867-9708
Mailing address
10536 W GLOXINIA ST, STAR, ID 83669-5442
(208) 867-9708
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6259
ID
Other
Enumeration date
09/01/2025
Last updated
09/01/2025
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