Individual provider · Type 1 NPI
Mary Yvette Mattingly, LMT
Massage Therapist · Bardstown, KY
NPI number
1750179214
Active
Practice location
968A Bloomfield Rd
Bardstown, KY 40004-9708
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 297412 (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 1750179214
Mary Yvette Mattingly, LMT's National Provider Identifier is 1750179214, issued on Apr 25, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bardstown, KY. The record was last updated on Apr 29, 2025.