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

Mr. Jamal Laronne Douglas, LMTCLT

Individual provider Massage Therapist · NPI 1255158556

Mr. Jamal Laronne Douglas, LMTCLT is a Massage Therapist in Southlake, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2024

Practice location Address checks out

2757 E Southlake Blvd Ste 110
Southlake, TX 76092
Phone: (682) 688-5534
Fax: (682) 688-5549
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MT139208 (TX)

Record details

NPI number1255158556
Entity typeIndividual (Type 1)
GenderMale
Credentials LMTCLT
Sole proprietorYes
NPI enumeratedSeptember 26, 2024
Last updated in NPPESSeptember 26, 2024

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