Provider Demographics
NPI:1851726129
Name:SNOWBERGER, DAVID ALAN (MS, ATC, CES)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:ALAN
Last Name:SNOWBERGER
Suffix:
Gender:M
Credentials:MS, ATC, CES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:498 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CORSICA
Mailing Address - State:PA
Mailing Address - Zip Code:15829-6210
Mailing Address - Country:US
Mailing Address - Phone:814-764-5111
Mailing Address - Fax:814-764-3499
Practice Address - Street 1:4091 C L SCHOOL RD
Practice Address - Street 2:
Practice Address - City:STRATTANVILLE
Practice Address - State:PA
Practice Address - Zip Code:16258-2203
Practice Address - Country:US
Practice Address - Phone:814-764-5111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-05
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART001697A2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer