Provider Demographics
NPI:1720012693
Name:SNIDER, STEVEN PATRICK (PT)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:PATRICK
Last Name:SNIDER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 COHASSET RD
Mailing Address - Street 2:SUITE 185
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-2210
Mailing Address - Country:US
Mailing Address - Phone:530-891-1366
Mailing Address - Fax:530-891-0950
Practice Address - Street 1:260 COHASSET RD
Practice Address - Street 2:SUITE 185
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-2210
Practice Address - Country:US
Practice Address - Phone:530-891-1366
Practice Address - Fax:530-891-0950
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2013-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT19188225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist