Individual
CHARITY NICOLE FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4618 S THOMPSON ST, SUITE D, SPRINGDALE, AR 72764-7467
(479) 200-9245
Mailing address
4618 S THOMPSON ST, SUITE D, SPRINGDALE, AR 72764-7467
(479) 200-9245
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3538
AR
Other
Enumeration date
03/05/2009
Last updated
03/05/2009
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