Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derrick Michael Brantley, LMT

Individual provider Massage Therapist · NPI 1477006195

Derrick Michael Brantley, LMT is a Massage Therapist in Orange City, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2016
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

See every abbreviation used in this directory →

Practice location Address checks out

572 Hamilton Ave
Orange City, FL 32763-4610
Phone: (386) 801-0642
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 79136 (FL)

Record details

NPI number1477006195
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedJuly 28, 2016
Last updated in NPPESJuly 28, 2016
Mailing address572 Hamilton Ave, Orange City, FL 32763-4610

Other providers in Orange City