Doctor Name: | MR. JEREMY SNYDER |
NPI Number: | 1437217957 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 7842 |
Business Practice Address: | 525 N Cascade Ave Ste 1 Colorado Springs, CO - 809033308 |
Business Phone Number: | 7193814359 |
Business Fax Number: | 7193814359 |
Mailing Address: | 525 N Cascade Ave Ste 1, COLORADO SPRINGS |
State: | CO |
Postal Code: | 809033308 |
Phone Number: | 7193814359 |
Fax Number: | 7193814359 |
NPI Enumeration Date: | 12/05/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 7842 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |