Individual
AMANDA MATTINGLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
815 JOHN HARPER RD UNIT 8, SHEPHERDSVILLE, KY 40165-7463
(502) 295-2202
Mailing address
558 W BEECH GROVE RD, LEBANON JUNCTION, KY 40150-8185
(502) 295-2202
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
105921
KY
Other
Enumeration date
06/28/2016
Last updated
05/30/2023
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