Provider Demographics
NPI:1053011957
Name:SNYDER, SHERYL (MSPT)
Entity type:Individual
Prefix:
First Name:SHERYL
Middle Name:
Last Name:SNYDER
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3620 AMERICAN WAY
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59808-1379
Mailing Address - Country:US
Mailing Address - Phone:269-357-9585
Mailing Address - Fax:
Practice Address - Street 1:3620 AMERICAN WAY
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59808-1379
Practice Address - Country:US
Practice Address - Phone:406-883-4764
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-08
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT2206225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist