Individual provider · Type 1 NPI

Jacqueline R. Mattingly, LMT

Massage Therapist · Lebanon, KY

NPI number 1457781932 Active

Practice location

322 S Harrison St
Lebanon, KY 40033-1132

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X5049 (KY)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1457781932

Jacqueline R. Mattingly, LMT's National Provider Identifier is 1457781932, issued on Nov 19, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lebanon, KY. The record was last updated on Nov 19, 2013.