Provider Demographics
NPI:1104921220
Name:SNYDER, SCOTT D (DC)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:D
Last Name:SNYDER
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1216 MARATHON DR
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-2681
Mailing Address - Country:US
Mailing Address - Phone:615-220-0009
Mailing Address - Fax:615-220-0740
Practice Address - Street 1:1175 ROCK SPRINGS RD STE 110
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-8128
Practice Address - Country:US
Practice Address - Phone:615-220-0009
Practice Address - Fax:615-220-0740
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC1273111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3100729OtherBCBS
TNU91004Medicare UPIN