Individual
JOHNATHON LUKE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2607 E MISSION BLVD STE 3, FAYETTEVILLE, AR 72703-5565
(479) 435-9227
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5317
AR
Other
Enumeration date
08/02/2023
Last updated
05/04/2026
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