MEDICARE: JANET JONES FORD P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	9753	CO

General Provider Information

NPI Number	:	1184606717
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANET JONES FORD P.T.

Provider Business Mailing Address
First Line	:	2070 COYOTE CT
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81507-8752
Country	:	US
Telephone Number	:	970-433-7728
Fax Number	:

Provider Business Practice Location Address
First Line	:	2070 COYOTE CT
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81507-8752
Country	:	US
Telephone Number	:	970-433-7728
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/18/2005
Last Update Date	:	04/05/2016

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