Derrick Michael Brantley, LMT | |
572 Hamilton Ave, Orange City, FL 32763-4610 | |
(386) 801-0642 | |
Not Available |
Full Name | Derrick Michael Brantley |
---|---|
Gender | Male |
Speciality | Massage Therapist |
Location | 572 Hamilton Ave, Orange City, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477006195 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 79136 (Florida) | Primary |
Mailing Address | Practice Location Address |
---|---|
Derrick Michael Brantley, LMT 572 Hamilton Ave, Orange City, FL 32763-4610 Ph: (386) 801-0642 | Derrick Michael Brantley, LMT 572 Hamilton Ave, Orange City, FL 32763-4610 Ph: (386) 801-0642 |
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Ms. Theresa Ann Waldorf-beman, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 124 Treemont Dr, Suite 190, Orange City, FL 32763 Phone: 386-774-7002 Fax: 386-774-7002 | |
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Monica A Quiles, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 921 Town Center Dr, Ste 300, Orange City, FL 32763 Phone: 386-774-0088 | |
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