Mattingly, Jacqueline R.

Mattingly, Jacqueline R. is an sole proprietor health care provider with primary practice located at 322 S Harrison St , Lebanon KY 40033-1132. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Mattingly, Jacqueline R. can be contacted via phone (270) 321-0019.

Contact Information

Primary practice address
322 S Harrison St Lebanon KY 40033-1132
Phone: (270) 321-0019
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 5049 Kentucky

Profile Details

NPI number 1457781932
LBN Legal business name Mattingly, Jacqueline R.
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 19th, 2013
Last updated Nov 19th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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