Individual
MICHAEL SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
17233 N HOLMES BLVD STE 1650, PHOENIX, AZ 85053-2030
(602) 547-1836
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-3251
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05007458A
IN
225100000X
Physical Therapist
Primary
CP001275T
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP001275T
PT COMPACT PRIVILEGE VERIFICATION
AZ
Enumeration date
02/07/2007
Last updated
03/10/2020
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