IndividualActive
Barrett Mattingly, PT, DPT, ATC
NPI 1477859155 · Physical Therapist · Bardstown, KY
Provider details
- NPI number
- 1477859155
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT, ATC
- Sex
- Male
- Sole proprietor
- No
- License
- 005753 (KY)
Practice location
875 Pennsylvania Ave
Suite a
Bardstown, KY 40004-2529
Phone: (502) 349-6961
Fax: (502) 348-1789
Mailing address
875 Pennsylvania Ave
Bardstown, KY 40004-2529
Registry dates
- Enumerated
- 2011-01-28
- Last updated
- 2011-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.