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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STACY FORD, ATC

Active Sole Proprietor

STACY FORD, ATC is a Athletic Trainer healthcare provider located in QUAKERTOWN, Pennsylvania. NPI 1447380076 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · QUAKERTOWN, PA

Registration Details

NPI Number
1447380076
Provider Type
Individual
Gender
Female
NPI Issued
Mar 6, 2007 (19.422893314923 yrs)
Last Updated
Aug 25, 2014
Licenses
RT005733 (PA)
MSG008819 (PA)
MT-0003830 (DE)
Sole Proprietor
Yes

Practice Information

Address
540 BLACK WALNUT DR
QUAKERTOWN, PA, 189515533
Browse PA providers · Browse ZIP 18951
Phone
8604602031
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Massage Therapist
Additional Specialty
Massage Therapist

Other Athletic Trainer Providers in QUAKERTOWN, PA

Name Credential NPI
MALINDA DOBBINS 1346619814
MELANIE CARDELL ATC 1467803114
BRADLEY AUSTIN 1699539114
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.