SHANNON LYNN SMITH
NPI 1104308014
Massage Therapist in Plymouth, MI

Q: What is Shannon Smith's NPI number?

The NPI number for Shannon Smith is 1104308014. It was assigned to this individual provider in the NPPES registry on September 6, 2018.

Q: What is Shannon Smith's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Smith was last updated on September 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since September 06, 2018

15131 NORTHVILLE RD, PLYMOUTH, MI 48170(734) 309-1103 Get Directions Write a Review

NPPES record last updated: September 6, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shannon Lynn Smith NPPES

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

SHANNON LYNN SMITH (NPI 1104308014) is an individual massage therapist in Plymouth, Michigan, licensed in Michigan (7501002581) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1104308014

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameSHANNON LYNN SMITH

Location Address15131 NORTHVILLE RDPlymouth, MI 48170-2548

Mailing Address15131 Northville RdPlymouth, MI 48170-2548 · (734) 309-1103

Phone(734) 309-1103

Sole ProprietorYes

Enumeration DateSeptember 6, 2018

✔ NPI 1104308014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

License✔ Licensed in MI · 7501002581

Definition

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.

15131 NORTHVILLE RD, Plymouth, MI 48170

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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 Smith's NPI number?

The NPI number for Shannon Smith is 1104308014. It was assigned to this individual provider in the NPPES registry on September 6, 2018.

Where is Shannon Smith located?

Shannon Smith practices at 15131 Northville Rd, Plymouth, MI 48170. The listed phone number is (734) 309-1103.

What is Shannon Smith's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Shannon Smith was last updated on September 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.