Provider Demographics
NPI:1093118531
Name:SNEED, PATRICK H (MPT)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:H
Last Name:SNEED
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2968 ASK KAY DR SE
Mailing Address - Street 2:STE B
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30082-2304
Mailing Address - Country:US
Mailing Address - Phone:615-584-6863
Mailing Address - Fax:
Practice Address - Street 1:2968 ASK KAY DR SE
Practice Address - Street 2:STE B
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30082-2304
Practice Address - Country:US
Practice Address - Phone:615-584-6863
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-29
Last Update Date:2021-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT011496225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist