ELLIOT RICHARD MATTINGLY

BARDSTOWN, KY
NPI1154695864
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2251X0800X Physical Therapist, Orthopedic
(Licence: KY  005992)
Enumeration Date2012-02-27
Last Update Date2012-02-27
Business Address
-- ELLIOT RICHARD MATTINGLY PT, DPT
875 PENNSYLVANIA AVE
BARDSTOWN, KY 40004-2529
Phone number: 502-349-6961
Mailing Address
-- ELLIOT RICHARD MATTINGLY PT, DPT
439 BLOOMFIELD RD
BARDSTOWN, KY 40004-2010
Phone number: 502-460-0125
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