Individual
BARRETT ALEXANDER MATTINGLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, ATC
Contact information
Practice address
875 PENNSYLVANIA AVE, SUITE A, BARDSTOWN, KY 40004-2529
(502) 349-6961
(502) 348-1789
Mailing address
875 PENNSYLVANIA AVE, SUITE A, BARDSTOWN, KY 40004-2529
(502) 349-6961
(502) 348-1789
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005753
KY
Other
Enumeration date
01/28/2011
Last updated
01/28/2011
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