Provider Demographics
NPI:1144734526
Name:SNEED, ANGELA MARIE (LAT, ATC)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:MARIE
Last Name:SNEED
Suffix:
Gender:F
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:677 JULIE MCKNIGHT RD
Mailing Address - Street 2:
Mailing Address - City:KITTRELL
Mailing Address - State:NC
Mailing Address - Zip Code:27544-9163
Mailing Address - Country:US
Mailing Address - Phone:252-915-0136
Mailing Address - Fax:
Practice Address - Street 1:13440 LUCIA RIVERBEND HWY
Practice Address - Street 2:
Practice Address - City:MT HOLLY
Practice Address - State:NC
Practice Address - Zip Code:28120-9766
Practice Address - Country:US
Practice Address - Phone:252-915-0136
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-21
Last Update Date:2017-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC36492255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer