Individual
DOUGLAS E SNYDER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
1234 WHITEFISH STAGE, KALISPELL, MT 59901-2753
(406) 756-7878
(406) 257-7811
Mailing address
1234 WHITEFISH STAGE, KALISPELL, MT 59901-2753
(406) 756-7878
(406) 257-7811
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1284PT
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0197816
WA STATE WORK COMP PROV #
MT
05
—
0340765
—
MT
01
—
60796
BCBS OF MT PROVIDER #
MT
01
—
MSF0512193
MT STATE FUND WORK COMP
MT
Enumeration date
10/18/2005
Last updated
07/09/2007
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