Individual
ANDREW JAMES FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1845 E TURNER ST, SPRINGFIELD, MO 65803-4619
(417) 889-4800
Mailing address
PO BOX 9163, SPRINGFIELD, MO 65801-9163
(417) 889-4800
(417) 889-0980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2018029809
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2018029809
MISSOURI BOARD OF HEALING ARTS
MO
Enumeration date
08/13/2018
Last updated
08/13/2018
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