Individual
MR. THOMAS MATTHEW MATTINGLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
237 E HIGHWAY 60, HARDINSBURG, KY 40143-4892
(270) 580-4444
(270) 257-6252
Mailing address
4636 COMBS FERRY RD STE 1, WINCHESTER, KY 40391-8086
(859) 229-2203
(859) 625-0969
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004657
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100401470
—
KY
Enumeration date
09/20/2005
Last updated
05/18/2021
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