Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SHANNON LYNN STALLWORTH, L.M.T,NCTMB
Active Sole ProprietorMRS. SHANNON LYNN STALLWORTH, L.M.T,NCTMB is a Specialist healthcare provider located in MATTOON, Illinois. NPI 1013190297 is currently active in the NPPES registry. Verify at CMS.
Specialist · MATTOON, IL
Registration Details
- NPI Number
- 1013190297
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 11, 2007 (18.648703328617 yrs)
- Last Updated
- Dec 11, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
921 LAKE LAND BLVDMATTOON, IL, 619385521Browse IL providers · Browse ZIP 61938
- Phone
- 2172353100
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in MATTOON, IL
| Name | Credential | NPI |
|---|---|---|
| RONALD MILLER | M.D. | 1841280831 |
| WILLIAM DAYTON KING | LMT | 1134303811 |
| MRS. JILL MICHELLE ALIER | L.M.T., N.C.T.M.B. | 1497991392 |
| MRS. ASHLEY ANN CRAIG | D.T. | 1902043219 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.