Individual
SHEILA FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
106 DIECKS DR, ELIZABETHTOWN, KY 42701-2443
(270) 737-2738
Mailing address
1071 FORD HANEY LANE, BARDSTOWN, KY 40004
(502) 331-2606
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A02988
KY
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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