Provider Demographics
NPI:1649548280
Name:SNYDER, JANE ELIZABETH (RDN, CSR, LD, LMT)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:ELIZABETH
Last Name:SNYDER
Suffix:
Gender:F
Credentials:RDN, CSR, LD, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10979 REED HARTMAN HWY STE 320
Mailing Address - Street 2:
Mailing Address - City:BLUE ASH
Mailing Address - State:OH
Mailing Address - Zip Code:45242-2825
Mailing Address - Country:US
Mailing Address - Phone:513-505-6800
Mailing Address - Fax:513-297-9429
Practice Address - Street 1:10979 REED HARTMAN HWY STE 320
Practice Address - Street 2:
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45242-2825
Practice Address - Country:US
Practice Address - Phone:513-505-6800
Practice Address - Fax:513-297-9429
Is Sole Proprietor?:No
Enumeration Date:2011-12-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4082133VN1005X, 133VN1006X, 133V00000X
OH33.018769 S225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Renal
No133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist