Montague D Brantley Jr.
Individual provider Active NPI Massage Therapist · Florence, SC
NPI 1407287337 · NPPES record last updated May 5, 2016
Key facts
- NPI
- 1407287337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 7741 (SC)
- Practice address
- 600 E Palmetto St
Florence, SC 29506-2851 - Phone
- (843) 664-3608
- Fax
- (843) 667-4133
- NPI assigned
- Dec 3, 2013
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7741 | SC | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 7741 | SC | Yes |
Addresses
Primary practice location
600 E Palmetto St
Florence, SC 29506-2851
Mailing address
600 E Palmetto St
Florence, SC 29506-2851
Phone (843) 664-3608
Other providers in Florence, SC
- Melissa Ann Brady
- Melanie Samples Bramblett
- Jordan Bramlett
- Eulalee Brand
- Brantley M Adams PHD PA
- James E Braswell
- Rachel Bratcher
- James Rufus Bratton Jr.
- Blake Leonard Breaux
- Cami Lynn Bremer
All providers in Florence, SC · Massage Therapist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.