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Organization

CITIUS PERFORMANCE THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KENT MITCHELL FORD PT, DPT, MS (OWNER)
(614) 961-0273
Entity
Organization

Contact information

Practice address
6545 MARKET AVE N STE 100, CANTON, OH 44721-2430
(614) 961-0273
Mailing address
6545 MARKET AVE N STE 100, CANTON, OH 44721-2430

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
225100000X
Physical Therapist
Primary
226300000X
Kinesiotherapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1336949361
PHYSICAL THERAPIST
OH
Enumeration date
04/05/2025
Last updated
04/05/2025
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