SHANNON ROSE WILLSHAW LMP NPI 1215144183

NPI Information

  • NPI: 1215144183
  • Provider Name: SHANNON ROSE WILLSHAW, LMP
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 10828 GRAVELLY LAKE DR SW STE 112
    LAKEWOOD, WA
    ZIP 98499
  • Phone: (425) 697-0823

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NPI Details

Shannon Rose Willshaw, LMP is a massage therapist in Lakewood, WA. The provider is 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. Shannon Rose Willshaw, LMP NPI is 1215144183. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10828 GRAVELLY LAKE DR SW STE 112
LAKEWOOD, WA
ZIP 98499-300
Phone: (425) 697-0823

The enumeration date for this NPI number is 5/17/2007 and was last updated on 12/29/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage TherapistMA00022844WASHINGTONNo
2225700000XMassage TherapistWASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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