DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KEITH RAYMOND MATHERLY, MASSAGE THERAPIST

Active

KEITH RAYMOND MATHERLY, MASSAGE THERAPIST is a Massage Therapist healthcare provider located in LIVONIA, Michigan. NPI 1871090191 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · LIVONIA, MI

Registration Details

NPI Number
1871090191
Provider Type
Individual
Gender
Male
NPI Issued
Apr 12, 2018 (8.2996886321315 yrs)
Last Updated
Apr 12, 2018
License
7501000863 (MI)

Practice Information

Address
20000 VICTOR PKWY STE 100
LIVONIA, MI, 481527027
Browse MI providers · Browse ZIP 48152
Phone
7349531745
Fax
7349531743
Primary Specialty
Massage Therapist
225700000X

Other Massage Therapist Providers in LIVONIA, MI

Name Credential NPI
MS. CARMYN WOOD NCTMB 1427264423
MS. PEGGY SUE DYER CMT 1972712800
TOMICA D BLAKE MT 1356679088
PHYLLIS S WILLIAMS MT 1285962431
ANGELA C BREWER 1003147992
TIFFANY A THERIAULT MT 1356663595
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.