IndividualActive
Jacqueline Mattingly, LMT
NPI 1457781932 · Massage Therapist · Lebanon, KY
Provider details
- NPI number
- 1457781932
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 5049 (KY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
322 S Harrison St
Lebanon, KY 40033-1132
Phone: (270) 321-0019
Approximate (ZIP-level) locationGet directions
Mailing address
322 S Harrison St
Lebanon, KY 40033-1132
Registry dates
- Enumerated
- 2013-11-19
- Last updated
- 2013-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.