Individual
JEANETTA FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
1 UNIVERSITY DR, UPO 823, CAMPBELLSVILLE, KY 42718-2190
(270) 789-5333
Mailing address
1 UNIVERSITY DR, UPO 823, CAMPBELLSVILLE, KY 42718-2190
(270) 789-5333
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT903
KY
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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