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Keith Raymond Matherly, MASSAGETHERAPIST
Massage Therapist in Livonia, Michigan
NPI 1871090191

Keith Raymond Matherly is a Massage Therapist based in Livonia, MI. Keith Raymond Matherly practices in Livonia, MI and has the professional credentials of MASSAGETHERAPIST. The NPI Number for Keith Raymond Matherly is 1871090191 and holds a License No. 7501000863 (Michigan).

The current practice location address for Keith Raymond Matherly is 20000 Victor Pkwy Ste 100, Livonia, MI and can be reached out via phone at 734-953-1745 and via fax at 734-953-1743.

Location: 20000 Victor Pkwy Ste 100, Livonia, MI, 48152-7027
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871090191
Provider Name
Keith Raymond Matherly
Credential
MASSAGETHERAPIST
Provider Entity Type
Individual
Gender
Male
Address
20000 Victor Pkwy Ste 100, Livonia, MI, 48152-7027
Phone Number
734-953-1745
Fax Number
734-953-1743
Provider Enumeration Date
04/12/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
20000 Victor Pkwy Ste 100
City
Livonia
State
Michigan
Zip
48152-7027
Phone Number
734-953-1745
Fax Number
734-953-1743
person
Provider Business Mailing Address Details
Address
20000 Victor Pkwy Ste 100
City
Livonia
State
Michigan
Zip
48152-7027
Phone Number
734-953-1745
Fax Number
734-953-1743
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
7501000863 (Michigan)
Definition
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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