Provider Demographics
NPI:1417490780
Name:SNYDER PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:SNYDER PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:WEED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-237-7388
Mailing Address - Street 1:2845 S 70TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-6821
Mailing Address - Country:US
Mailing Address - Phone:402-489-1999
Mailing Address - Fax:402-489-4153
Practice Address - Street 1:2845 S 70TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-6821
Practice Address - Country:US
Practice Address - Phone:402-489-1999
Practice Address - Fax:402-489-4153
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW WEST ORTHOPAEDIC & SPORTS REHABILITATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-11-18
Last Update Date:2016-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty