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Derrick Michael Brantley, LMT
Massage Therapist in Orange City, Florida
NPI 1477006195

Derrick Michael Brantley is a Massage Therapist based in Orange City, FL. Derrick Michael Brantley practices in Orange City, FL and has the professional credentials of LMT. The NPI Number for Derrick Michael Brantley is 1477006195 and holds a License No. 79136 (Florida).

The current practice location address for Derrick Michael Brantley is 572 Hamilton Ave, Orange City, FL and can be reached out via phone at 386-801-0642.

Location: 572 Hamilton Ave, Orange City, FL, 32763-4610
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477006195
Provider Name
Derrick Michael Brantley
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
572 Hamilton Ave, Orange City, FL, 32763-4610
Phone Number
386-801-0642
Fax Number
Provider Enumeration Date
07/28/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
572 Hamilton Ave
City
Orange City
State
Florida
Zip
32763-4610
Phone Number
386-801-0642
Fax Number
person
Provider Business Mailing Address Details
Address
572 Hamilton Ave
City
Orange City
State
Florida
Zip
32763-4610
Phone Number
386-801-0642
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
79136 (Florida)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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