Provider Demographics
NPI:1457737611
Name:RICE, CAMAE N (LMT)
Entity Type:Individual
Prefix:MISS
First Name:CAMAE
Middle Name:N
Last Name:RICE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1557 VERNON ODOM BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44320-4061
Mailing Address - Country:US
Mailing Address - Phone:330-880-1062
Mailing Address - Fax:
Practice Address - Street 1:1557 VERNON ODOM BLVD STE 103
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44320-4061
Practice Address - Country:US
Practice Address - Phone:330-880-1062
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33.022241225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH33.022241OtherOHIO STATE MEDICAL BOARD