Provider Demographics
NPI:1750450565
Name:SNYDER, KENDRA MARIE (DPT CSCS)
Entity Type:Individual
Prefix:MRS
First Name:KENDRA
Middle Name:MARIE
Last Name:SNYDER
Suffix:
Gender:F
Credentials:DPT CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 W OAKBROOK DR
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-2254
Mailing Address - Country:US
Mailing Address - Phone:734-944-5600
Mailing Address - Fax:734-944-5607
Practice Address - Street 1:168 S INDUSTRIAL DR
Practice Address - Street 2:
Practice Address - City:SALINE
Practice Address - State:MI
Practice Address - Zip Code:48176-9175
Practice Address - Country:US
Practice Address - Phone:734-944-5600
Practice Address - Fax:734-944-5607
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501012947225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist