Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Keith Raymond Matherly, MASSAGETHERAPIST

Individual provider Massage Therapist · NPI 1871090191

Keith Raymond Matherly, MASSAGETHERAPIST is a Massage Therapist in Livonia, Michigan. Licensed in Michigan. Registered with an NPI since 2018.

Licensed in
MI
In the registry since
2018

Practice location Address checks out

20000 Victor Pkwy Ste 100
Livonia, MI 48152-7027
Phone: (734) 953-1745
Fax: (734) 953-1743
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 7501000863 (MI)

Record details

NPI number1871090191
Entity typeIndividual (Type 1)
GenderMale
Credentials MASSAGETHERAPIST
Sole proprietorNo
NPI enumeratedApril 12, 2018
Last updated in NPPESApril 12, 2018

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