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STACY FORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
540 BLACK WALNUT DR, QUAKERTOWN, PA 18951-5533
(860) 460-2031
Mailing address
540 BLACK WALNUT DR, QUAKERTOWN, PA 18951-5533
(860) 460-2031

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT005733
PA
225700000X
Massage Therapist
MSG008819
PA
225700000X
Massage Therapist
MT-0003830
DE

Other

Enumeration date
03/06/2007
Last updated
08/25/2014
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