Individual
JADERICK LAJORGE DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4008 E STAN SCHLUETER LOOP STE 108-109, KILLEEN, TX 76542-8536
(254) 245-8003
(252) 245-8022
Mailing address
4611 DONEGAL BAY CT, KILLEEN, TX 76549-5077
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT135622
TX
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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