IndividualActive
Elliot Mattingly, PT, DPT
NPI 1154695864 · Orthopedic Physical Therapist · Bardstown, KY
Provider details
- NPI number
- 1154695864
- Entity type
- Individual
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 005992 (KY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
875 Pennsylvania Ave
Bardstown, KY 40004-2529
Phone: (502) 349-6961
Approximate (ZIP-level) locationGet directions
Mailing address
439 Bloomfield Rd
Bardstown, KY 40004-2010
Registry dates
- Enumerated
- 2012-02-27
- Last updated
- 2012-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.