Individual
STACEY MARIE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
427 31-W BYPASS, SUITE 203, BOWLING GREEN, KY 42101-4210
(270) 783-4500
(270) 904-1771
Mailing address
PO BOX 2050, BOWLING GREEN, KY 42102-2050
(270) 783-4500
(270) 904-1771
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
106781
KY
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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