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KEITH RAYMOND MATHERLY MASSAGE THERAPIST
NPI 1871090191
Massage Therapist in Livonia, MI

Active since April 12, 2018
20000 VICTOR PKWY STE 100, LIVONIA, MI 48152(734) 953-1745(734) 953-1743 Get Directions Write a Review

NPPES record last updated: April 12, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Keith Raymond Matherly Massage Therapist NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEITH RAYMOND MATHERLY MASSAGE THERAPIST (NPI 1871090191) is an individual massage therapist in Livonia, Michigan, licensed in Michigan (7501000863) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1871090191
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameKEITH RAYMOND MATHERLYCredential: MASSAGE THERAPIST
Location Address20000 VICTOR PKWY STE 100Livonia, MI 48152-7027
Mailing Address20000 Victor Pkwy Ste 100Livonia, MI 48152-7027 · (734) 953-1745 · Fax (734) 953-1743
Phone(734) 953-1745
Fax(734) 953-1743
Sole ProprietorNo
Enumeration DateApril 12, 2018
✔ NPI 1871090191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in MI · 7501000863
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.
20000 VICTOR PKWY STE 100, Livonia, MI 48152
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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIYANA SIDNI KING OTRL
Occupational Therapist
20000 VICTOR PKWY STE 100
LIVONIA, MI 48152
Wayne County (734) 743-2909
EMILY GOLD COUGHLIN PTA
Physical Therapy Assistant
20000 VICTOR PKWY STE 100
LIVONIA, MI 48152
Wayne County (734) 743-2909
CHARLES SWINGLE ATC, DPT
Physical Therapist
20000 VICTOR PKWY STE 100
LIVONIA, MI 48152
Wayne County (734) 953-1745
JENNIFER KILENY
Speech-Language Pathologist
20000 VICTOR PKWY STE 100
LIVONIA, MI 48152
Wayne County (734) 953-1745
STEVEN LYNN BROWN DPT
Physical Therapist
20000 VICTOR PKWY STE 100
LIVONIA, MI 48152
Wayne County (734) 953-1745
NADA METTI OTRL
Occupational Therapist
20000 VICTOR PKWY STE 100
LIVONIA, MI 48152
Wayne County (734) 743-2909
RACQUEL A KNESEL CCC-SLP
Speech-Language Pathologist
20000 VICTOR PKWY STE 100
LIVONIA, MI 48152
Wayne County (734) 743-2909
CHRISTOPHER M PLAGUE
Occupational Therapist
20000 VICTOR PKWY STE 100
LIVONIA, MI 48152
Wayne County (734) 743-2909

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Matherly's NPI number?

The NPI number for Keith Matherly is 1871090191. It was assigned to this individual provider in the NPPES registry on April 12, 2018.

Where is Keith Matherly located?

Keith Matherly practices at 20000 Victor Pkwy Ste 100, Livonia, MI 48152. The listed phone number is (734) 953-1745.

What is Keith Matherly's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Keith Matherly was last updated on April 12, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.