Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRELL S BOSTICK, B.S.
Active Sole ProprietorJERRELL S BOSTICK, B.S. is a Massage Therapist healthcare provider located in DAYTONA BEACH, Florida. NPI 1003163858 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · DAYTONA BEACH, FL
Registration Details
- NPI Number
- 1003163858
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 11, 2012 (13.983962218284 yrs)
- Last Updated
- Jan 13, 2024
- Licenses
-
MT135450 (TX)MA79474 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
504 RAILWAY STDAYTONA BEACH, FL, 321142654Browse FL providers · Browse ZIP 32114
- Phone
- 3866798532
- Primary Specialty
-
Massage Therapist
225700000X
- Additional Specialty
- Massage Therapist
- Additional Specialty
- Massage Therapist
Other Massage Therapist Providers in DAYTONA BEACH, FL
| Name | Credential | NPI |
|---|---|---|
| MS. PENELOPE CONLAN | LMT | 1750303608 |
| MRS. DAWN M CRANDALL | PEDIATRIC MASSAGE TH | 1396869996 |
| PABLO ARAMAYO | LMT | 1407054703 |
| MR. JAMES MICHAEL BARUFFI | LMT | 1538344718 |
| MS. KRISTIN ANN PADGETT | LMT | 1144495771 |
| MR. BRIAN JAMISON HOLLOWAY | LMT | 1013242247 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.