Provider Demographics
NPI:1851637953
Name:SNIDER, CHRISSANDRA ANN (LMT)
Entity Type:Individual
Prefix:
First Name:CHRISSANDRA
Middle Name:ANN
Last Name:SNIDER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9095 DOYLE RD
Mailing Address - Street 2:
Mailing Address - City:SHEPHERD
Mailing Address - State:MT
Mailing Address - Zip Code:59079-3611
Mailing Address - Country:US
Mailing Address - Phone:406-690-5777
Mailing Address - Fax:
Practice Address - Street 1:2020 GRAND AVE STE 5
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-2679
Practice Address - Country:US
Practice Address - Phone:406-690-5777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-17
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60320034225700000X
MT20278225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist