Whalio Doctors

NPI 1003163858

Jerrell S Bostick, BS

Practitioner Massage Therapist Daytona Beach, FL

Practice location

Address
504 Railway St, Daytona Beach, FL 32114-2654
Phone
(386) 679-8532

Registered specialties (3)

Massage Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MT135450 (TX)
Case Manager/Care Coordinator
Other Service Providers Taxonomy 171M00000X
Massage Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MA79474 (FL)

Registry record

NPI
1003163858
Entity type
Individual
Sex (as registered)
Male
NPI issued
11 Aug 2012
Record last updated
13 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.