DERRICK MICHAEL BRANTLEY LMT NPI 1477006195

NPI Information

  • NPI: 1477006195
  • Provider Name: DERRICK MICHAEL BRANTLEY, LMT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 572 HAMILTON AVE
    ORANGE CITY, FL
    ZIP 32763
  • Phone: (386) 801-0642

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NPI Details

Derrick Michael Brantley, LMT is a massage therapist in Orange City, FL. The provider is 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. Derrick Michael Brantley, LMT NPI is 1477006195. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

572 HAMILTON AVE
ORANGE CITY, FL
ZIP 32763-610
Phone: (386) 801-0642

The enumeration date for this NPI number is 7/28/2016 and was last updated on 7/28/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage Therapist79136FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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