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

Individual provider Physical Therapist · NPI 1750746483

Khepera Iandiataiyero, PT is a Physical Therapist in Nottingham, Maryland. Licensed in Maryland. Registered with an NPI since 2015.

Licensed in
MD
In the registry since
2015
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

4011 Marjeff Pl Apt C
Nottingham, MD 21236-4514
Phone: (410) 917-0524
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 17169 (MD)

Record details

NPI number1750746483
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedDecember 23, 2015
Last updated in NPPESDecember 23, 2015

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