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NPI Code Detail

MEDICARE: DR. KATHRYN FORD DPT

MEDICARE:  DR. KATHRYN  FORD  DPT
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
1225100000XPhysical Therapist6160OK

General Provider Information

NPI Number : 1528798527
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHRYN FORD DPT
Provider Business Mailing Address
First Line : 3715 S GRANITE AVE
Second Line :
City : TULSA
State : OK
Zip : 74135-5524
Country : US
Telephone Number : 918-863-7857
Fax Number :
Provider Business Practice Location Address
First Line : 1423 S HARVARD AVE
Second Line :
City : TULSA
State : OK
Zip : 74112-5819
Country : US
Telephone Number : 918-863-7857
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2022
Last Update Date : 06/13/2022

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Directions to “ DR. KATHRYN FORD DPT” Practice Location

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