Individual
DR. AMANDA MATTINGLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
704 BLOOMFIELD RD, BARDSTOWN, KY 40004-2025
(502) 331-5478
(502) 385-0234
Mailing address
107 WESTWIND TRL, BARDSTOWN, KY 40004-1827
(502) 741-7810
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
006385
KY
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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