Individual provider · Type 1 NPI

Keith Raymond Matherly, MASSAGE THERAPIST

Massage Therapist · Livonia, MI

NPI number 1871090191 Active

Practice location

20000 Victor Pkwy Ste 100
Livonia, MI 48152-7027

Call (734) 953-1745 Map

Fax (734) 953-1743

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X7501000863 (MI)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1871090191

Keith Raymond Matherly, MASSAGE THERAPIST's National Provider Identifier is 1871090191, issued on Apr 12, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Livonia, MI. The record was last updated on Apr 12, 2018.