Ethan Mattingly, RD
Ethan Mattingly, RD is a Registered Dietitian in Payneville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2020.
- Licensed in
- KY
- In the registry since
- 2020
What do these letters mean?
- RD — Registered Dietitian
- A credentialed nutrition professional.
Practice location Address checks out
175 Thad Redman RdPayneville, KY 40157-7524
Phone: (270) 496-4435
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Dietitian (primary) | Taxonomy 133V00000X · Licence 164314 (KY) |
|---|
Record details
| NPI number | 1386259471 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | RD |
| Sole proprietor | No |
| NPI enumerated | September 15, 2020 |
| Last updated in NPPES | September 15, 2020 |
| Certification date | September 15, 2020 |
| Mailing address | 175 Thad Redman Rd, Payneville, KY 40157-7524 |