Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Rodney Dean Ford Jr., ATC

Individual provider Athletic Trainer · NPI 1316233224

Mr. Rodney Dean Ford Jr., ATC is an Athletic Trainer in Belleville, Illinois. Licensed in Illinois and Missouri. Registered with an NPI since 2011.

Licensed in
IL, MO
In the registry since
2011
Specialties on file
2
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

4550 Memorial Dr Ofc Center One Ste G100
Belleville, IL 62226-5372
Phone: (618) 236-2246
Fax: (618) 236-2315
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 096.001223 (IL)
Athletic Trainer Taxonomy 2255A2300X · Licence 2000164612 (MO)

Record details

NPI number1316233224
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedJune 20, 2011
Last updated in NPPESJune 20, 2011

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