Provider Demographics
NPI:1225091382
Name:SNYDER, ALISON R (ATC)
Entity Type:Individual
Prefix:DR
First Name:ALISON
Middle Name:R
Last Name:SNYDER
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3636 E INVERNESS AVE
Mailing Address - Street 2:#1096
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-3862
Mailing Address - Country:US
Mailing Address - Phone:480-219-8943
Mailing Address - Fax:
Practice Address - Street 1:5850 E STILL CIR
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-3618
Practice Address - Country:US
Practice Address - Phone:480-219-6000
Practice Address - Fax:480-219-6100
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ05362255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer