SearchIndianaAthletic Trainer

Jerry Ford, ATC

NPI 1275877201 · on the registry since 2012

Practice

Address
4251 Lahmeyer Rd
Fort Wayne, IN 46815
Phone
(260) 432-4700
Fax
(260) 459-9262
Clinicians at this address
13

Registry record

Primary taxonomy
Athletic Trainer
2255A2300X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-11-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana