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Amanda Mattingly

NPI 1578144762 · on the registry since 2021 · sole proprietor

Practice

Address
7391 Roman Ave Nw
Massillon, OH 44646
Phone
(330) 575-2561

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-04-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio