person
Travis Moakley Mattingly, DO
Student in an Organized Health Care Education/Training Program in Philadelphia, Pennsylvania
NPI 1700370137

Travis Moakley Mattingly is a Student in an Organized Health Care Education/Training Program based in Philadelphia, PA. Travis Moakley Mattingly practices in Philadelphia, PA and has the professional credentials of DO. The NPI Number for Travis Moakley Mattingly is 1700370137 and holds a License No. OT018741 (Pennsylvania).

The current practice location address for Travis Moakley Mattingly is 10800 Knights Rd, Philadelphia, PA and can be reached out via phone at 215-612-5161.

Location: 10800 Knights Rd, Philadelphia, PA, 19114-4299
person
Provider Profile Details
NPI Number
1700370137
Provider Name
Travis Moakley Mattingly
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
10800 Knights Rd, Philadelphia, PA, 19114-4299
Phone Number
215-612-5161
Fax Number
Provider Enumeration Date
06/19/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10800 Knights Rd
City
State
Zip
19114-4299
Phone Number
215-612-5161
Fax Number
person
Provider Business Mailing Address Details
Address
10800 Knights Rd
City
State
Zip
19114-4299
Phone Number
215-612-5161
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
OT018741 (Pennsylvania)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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