# FORD PHYSICAL THERAPY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417462862
- **Authorized official:** AARON FORD (OWNER)
- **Authorized official phone:** (662) 416-3909

## Contact information

- **Practice address:** 2633 TRACELAND DR, TUPELO, MS 38801-4238
- **Practice address phone:** (662) 416-3909
- **Mailing address:** 103 CHAMPIONS CV, SALTILLO, MS 38866-8304
- **Mailing address phone:** (662) 416-3909

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 12/07/2017
- **Last updated:** 12/07/2017