Individual
JACOB FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
702 HICKORY ST, ARKADELPHIA, AR 71923-5040
(870) 464-1337
(870) 464-1338
Mailing address
702 HICKORY ST, ARKADELPHIA, AR 71923-5040
(870) 464-1337
(870) 464-1338
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
225200000X
Physical Therapy Assistant
Primary
4758
AR
Other
Enumeration date
01/14/2020
Last updated
02/06/2026
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