Individual
KATHLEEN M FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
822 DEL PRADO BLVD S STE 120, CAPE CORAL, FL 33990-2687
(239) 770-8998
Mailing address
1825 FLAGLER AVE, LEHIGH ACRES, FL 33936-5368
(239) 770-8998
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26068
FL
Other
Enumeration date
12/20/2018
Last updated
12/20/2018
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