Individual
MRS. HEATHER MICHELE FORD
Active
Individual
MRS. HEATHER MICHELE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
004633
KY
225100000X
Physical Therapist
Primary
13675
NC
225100000X
Physical Therapist
9211
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13675
STATE PROVIDER LICENSE
NC
01
—
9211
LISENCE #
OH
05
—
GP-212
—
KY
01
—
KY#004633
LISENCE #
KY
Enumeration date
05/08/2007
Last updated
08/05/2020
Update your record
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