Individual
LADARRYL WHALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4280 LAVON DR # 280, GARLAND, TX 75040-2902
(817) 751-2738
Mailing address
1306 RED RIVER DR, WYLIE, TX 75098-6113
(214) 713-9601
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT125336
TX
Other
Enumeration date
05/19/2026
Last updated
05/19/2026
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