Provider Demographics
NPI:1871396341
Name:SNYDER, HELEN MARY (MASSAGE THERAPIST)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:MARY
Last Name:SNYDER
Suffix:
Gender:
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1162 PINE GLEN WAY
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92154-3551
Mailing Address - Country:US
Mailing Address - Phone:657-342-7272
Mailing Address - Fax:
Practice Address - Street 1:1162 PINE GLEN WAY
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92154-3551
Practice Address - Country:US
Practice Address - Phone:657-342-7272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40293225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist