Individual
MRS. AMANDA MICHELE MATTINGLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
200 GLENWAY RD, WINCHESTER, KY 40391-8991
(859) 744-1800
Mailing address
123 DORSET LANE, WINCHESTER, KY 40391
(859) 552-4899
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A01997
KY
Other
Enumeration date
07/06/2007
Last updated
07/07/2008
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