Provider Demographics
NPI:1427887868
Name:SNYDER, GRIFFIN RILLEY (PT, DPT)
Entity type:Individual
Prefix:
First Name:GRIFFIN
Middle Name:RILLEY
Last Name:SNYDER
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 69
Mailing Address - Street 2:
Mailing Address - City:SUMMERSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:26651-0069
Mailing Address - Country:US
Mailing Address - Phone:304-872-7498
Mailing Address - Fax:304-872-8144
Practice Address - Street 1:207 MERCHANTS WALK
Practice Address - Street 2:
Practice Address - City:SUMMERSVILLE
Practice Address - State:WV
Practice Address - Zip Code:26651-1901
Practice Address - Country:US
Practice Address - Phone:304-872-7498
Practice Address - Fax:304-872-8144
Is Sole Proprietor?:No
Enumeration Date:2024-08-01
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVPT004795225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist