NPI 1154695864

Elliot Richard Mattingly, PTDPT

Practitioner Orthopedic Physical Therapist Bardstown, KY

Practice location

Address: 875 Pennsylvania Ave, Bardstown, KY 40004-2529
Phone: (502) 349-6961
Mailing address: 439 Bloomfield Rd, Bardstown, KY 40004-2010

Registered specialties

Orthopedic Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2251X0800X Licence 005992 (KY)

Other Physical Therapist providers in Kentucky →

Registry record

NPI: 1154695864
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Feb 2012
Record last updated: 27 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.