MEDICARE: MR. KEITH ALLAN KAPLAN LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	33008084	OH

General Provider Information

NPI Number	:	1407059470
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. KEITH ALLAN KAPLAN LMT

Provider Business Mailing Address
First Line	:	7258 E GALBRAITH RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45243
Country	:	US
Telephone Number	:	513-791-2527
Fax Number	:

Provider Business Practice Location Address
First Line	:	6200 PFEIFFER RD
Second Line	:	TRI HEALTH PAVILION BETHESDA HEALTHCARE
City	:	CINCINNATI
State	:	OH
Zip	:	45242
Country	:	US
Telephone Number	:	513-985-0900
Fax Number	:	513-985-6718

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2007
Last Update Date	:	07/08/2007

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