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MR. JAMAL LARONNE DOUGLAS LMT CLT
NPI 1255158556
Massage Therapist in Southlake, TX

Active since September 26, 2024
2757 E SOUTHLAKE BLVD, SUITE 110, SOUTHLAKE, TX 76092(682) 688-5534(682) 688-5549 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Jamal Laronne Douglas Lmt Clt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JAMAL LARONNE DOUGLAS LMT CLT (NPI 1255158556) is an individual massage therapist in Southlake, Texas, licensed in Texas (MT139208) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1255158556
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameMR. JAMAL LARONNE DOUGLASCredential: LMT CLT
Location Address2757 E SOUTHLAKE BLVD, SUITE 110Southlake, TX 76092
Mailing Address2173 Southern Place, Unit ACarrollton, TX 75006 · (469) 592-1011
Phone(682) 688-5534
Fax(682) 688-5549
Sole ProprietorYes
Enumeration DateSeptember 26, 2024
✔ NPI 1255158556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in TX · MT139208
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
2757 E SOUTHLAKE BLVD, Southlake, TX 76092
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Other Names 1

Professional Name (2)Mr. Mustapha Savage Lmt Clt

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jamal Douglas's NPI number?

The NPI number for Jamal Douglas is 1255158556. It was assigned to this individual provider in the NPPES registry on September 26, 2024. The provider is also known as Mr. Mustapha Savage Lmt Clt.

Where is Jamal Douglas located?

Jamal Douglas practices at 2757 E Southlake Blvd Suite 110, Southlake, TX 76092. The listed phone number is (682) 688-5534.

What is Jamal Douglas's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Jamal Douglas was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.