Provider Demographics
NPI:1235684820
Name:SNAVELY, LAURIE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:LAURIE
Middle Name:
Last Name:SNAVELY
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 FAWN HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:NEWMANSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17073-9227
Mailing Address - Country:US
Mailing Address - Phone:717-951-2446
Mailing Address - Fax:
Practice Address - Street 1:2733 PAPERMILL RD STE X9
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19610-3339
Practice Address - Country:US
Practice Address - Phone:484-709-8241
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-24
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT025358225100000X
AZ12513PT225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist