Provider Demographics
NPI:1225225105
Name:SNIDER, KATHRYN BARNES (PT)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:BARNES
Last Name:SNIDER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3130 STYLES RD
Mailing Address - Street 2:
Mailing Address - City:ALVA
Mailing Address - State:FL
Mailing Address - Zip Code:33920-4003
Mailing Address - Country:US
Mailing Address - Phone:239-707-4476
Mailing Address - Fax:239-936-8266
Practice Address - Street 1:3130 STYLES RD
Practice Address - Street 2:
Practice Address - City:ALVA
Practice Address - State:FL
Practice Address - Zip Code:33920-4003
Practice Address - Country:US
Practice Address - Phone:239-707-4476
Practice Address - Fax:239-936-8266
Is Sole Proprietor?:No
Enumeration Date:2007-09-25
Last Update Date:2007-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 18572225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist