Mark Mattingly

NPI #1134249238 in Perryville, Missouri

Provider Information

NPI Number: 1134249238
Entity Type: Individual
Name: Mark Mattingly
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Mar 30, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 434 N WEST ST
City: Perryville
State: Missouri
ZIP Code: 63775-1359
Phone: (573) 547-2530

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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