Doctor Name: | MRS. LAUREN K MATTINGLY |
NPI Number: | 1013931005 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 003595 |
Business Practice Address: | 4020 Taylorsville Rd Suite 7 Louisville, KY - 402201569 |
Business Phone Number: | 5024792552 |
Business Fax Number: | 5024792539 |
Mailing Address: | 4020 Taylorsville Rd, Suite 7 LOUISVILLE |
State: | KY |
Postal Code: | 402201569 |
Phone Number: | 5024792552 |
Fax Number: | 5024792539 |
NPI Enumeration Date: | 07/26/2006 |
NPI Last Update Date: | 06/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 003595 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |