Provider Demographics
NPI:1124611181
Name:SNAVELY, JONATHAN REID (DC)
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:REID
Last Name:SNAVELY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1221 NASHVILLE HWY
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:TN
Mailing Address - Zip Code:37091-2221
Mailing Address - Country:US
Mailing Address - Phone:931-270-7000
Mailing Address - Fax:931-270-7701
Practice Address - Street 1:1221 NASHVILLE HWY
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:TN
Practice Address - Zip Code:37091-2221
Practice Address - Country:US
Practice Address - Phone:931-270-7000
Practice Address - Fax:931-270-7701
Is Sole Proprietor?:No
Enumeration Date:2021-02-19
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC0000003366111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor