Individual
MR. JEREMY LEE FORD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
444 N MAIN ST, AKRON, OH 44310-3110
(330) 379-9488
(330) 379-5511
Mailing address
243 PORTAGE LAKES DR, APT A, AKRON, OH 44319-2392
(330) 644-4575
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
00-1920
OH
Other
Enumeration date
02/08/2006
Last updated
07/08/2007
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