Individual
JACOB MATTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2116 BUECHEL BANK RD, LOUISVILLE, KY 40218-3521
(502) 493-8383
Mailing address
2116 BUECHEL BANK RD, LOUISVILLE, KY 40218-3521
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A03377
KY
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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