Healthcare Provider Details

I. General information

NPI: 1588615942
Provider Name (Legal Business Name): MATTHEW J. SCHELLING MA, MSPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 11/29/2021
Certification Date: 08/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

76 C MICHAEL DAVENPORT BLVD STE 2
FRANKFORT KY
40601-4390
US

IV. Provider business mailing address

122 DANIEL DR
DANVILLE KY
40422-2527
US

V. Phone/Fax

Practice location:
  • Phone: 859-329-9496
  • Fax:
Mailing address:
  • Phone: 859-236-4686
  • Fax: 859-236-4624

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number003978
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: