MRS. SHANNON LYNN STALLWORTH L.M.T,NCTMB
NPI 1013190297
Specialist in Mattoon, IL

Q: What is Shannon Stallworth's NPI number?

The NPI number for Shannon Stallworth is 1013190297. It was assigned to this individual provider in the NPPES registry on December 11, 2007.

Q: What is Shannon Stallworth's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since December 11, 2007

921 LAKE LAND BLVD, MATTOON, IL 61938(217) 235-3100 Get Directions Write a Review

NPPES record last updated: December 11, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Shannon Lynn Stallworth L.m.t,nctmb NPPES

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

MRS. SHANNON LYNN STALLWORTH L.M.T,NCTMB (NPI 1013190297) is an individual specialist in Mattoon, Illinois and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1013190297

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameMRS. SHANNON LYNN STALLWORTHCredential: L.M.T,NCTMB

Location Address921 LAKE LAND BLVDMattoon, IL 61938-5521

Mailing Address921 Lake Land BlvdMattoon, IL 61938-5521 · (217) 235-3100

Phone(217) 235-3100

Sole ProprietorYes

Enumeration DateDecember 11, 2007

✔ NPI 1013190297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

921 LAKE LAND BLVD, Mattoon, IL 61938

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM DAYTON KING LMT

Specialist

921 LAKE LAND BLVD
MATTOON, IL 61938

Coles County (217) 235-3100

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 Shannon Stallworth's NPI number?

The NPI number for Shannon Stallworth is 1013190297. It was assigned to this individual provider in the NPPES registry on December 11, 2007.

Where is Shannon Stallworth located?

Shannon Stallworth practices at 921 Lake Land Blvd, Mattoon, IL 61938. The listed phone number is (217) 235-3100.

What is Shannon Stallworth's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Shannon Stallworth was last updated on December 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.