Individual
JACKSON FORD BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
206B OXFORD RD, NEW ALBANY, MS 38652-3115
(662) 534-4445
(662) 534-9449
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-1980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT7718
MS
225100000X
Physical Therapist
PT9013
TN
Other
Enumeration date
06/30/2011
Last updated
05/30/2024
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