Provider Demographics
NPI:1487730370
Name:SNYDER, MICHELLE (DC)
Entity type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:
Last Name:SNYDER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2909 W NORTHWEST BLVD
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99205-2378
Mailing Address - Country:US
Mailing Address - Phone:509-327-4049
Mailing Address - Fax:509-327-0772
Practice Address - Street 1:2909 W NORTHWEST BLVD
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99205-2378
Practice Address - Country:US
Practice Address - Phone:509-327-4049
Practice Address - Fax:509-327-0772
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA2744111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAU35888Medicare UPIN