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General NPI Number Information
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NPI Number | 1255126116
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Entity Type | Individual
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Provider Name | RAYELLE KEENEY LMT
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Gender | Female
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Dates
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Enumeration Date | 04/11/2025
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 1160 NILES CORTLAND RD
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City | NILES
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State | OH
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Zip | 44446-3596
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Country | US
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Telephone | 330-652-4222
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Fax | 330-652-0574
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Provider Business Mailing Address
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Address Line | 4890 RIDGE RD
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City | CORTLAND
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State | OH
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Zip | 44410-9754
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Country | US
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Telephone | 330-282-2557
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Fax | 330-652-0574
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 33.026641
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License Number State | OH
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