Provider Demographics
NPI:1669871356
Name:SNYDER, JOHN THOMAS (PT, DPT, CSCS)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:THOMAS
Last Name:SNYDER
Suffix:
Gender:M
Credentials:PT, DPT, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1670 W 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43212-3302
Mailing Address - Country:US
Mailing Address - Phone:614-636-3555
Mailing Address - Fax:614-678-8444
Practice Address - Street 1:1670 W 1ST AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43212-3302
Practice Address - Country:US
Practice Address - Phone:614-636-3555
Practice Address - Fax:614-678-8444
Is Sole Proprietor?:No
Enumeration Date:2014-08-19
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT.015233225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist