Individual provider · Type 1 NPI
Elliot Richard Mattingly, PT, DPT
Orthopedic Physical Therapist · Bardstown, KY
Practice location
875 Pennsylvania Ave
Bardstown, KY 40004-2529
Mailing address
439 Bloomfield Rd
Bardstown, KY 40004-2010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopedic Physical Therapist Primary | 2251X0800X | 005992 (KY) |
Orthopedic Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based prac…
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About NPI 1154695864
Elliot Richard Mattingly, PT, DPT's National Provider Identifier is 1154695864, issued on Feb 27, 2012. The primary taxonomy on file is Orthopedic Physical Therapist (2251X0800X), and the practice location is in Bardstown, KY. The record was last updated on Feb 27, 2012.