Individual
ADAM MICHAEL MATTINGLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
463 OHIO PIKE STE 203, CINCINNATI, OH 45255-3745
(513) 247-4340
(513) 247-4360
Mailing address
5963 KENTSHIRE DR STE B, KETTERING, OH 45440-4253
(937) 813-8052
(937) 813-8056
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT017550
OH
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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