Provider Demographics
NPI:1336949361
Name:FORD, KENT MITCHELL (PT, DPT, MS, DN-C)
Entity type:Individual
Prefix:
First Name:KENT
Middle Name:MITCHELL
Last Name:FORD
Suffix:
Gender:
Credentials:PT, DPT, MS, DN-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 EATON AVE
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45013-3059
Mailing Address - Country:US
Mailing Address - Phone:614-961-0273
Mailing Address - Fax:
Practice Address - Street 1:124 EATON AVE
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45013-3059
Practice Address - Country:US
Practice Address - Phone:614-961-0273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-18
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT019733225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist