SHANNON MARIE WILLOUGHBY LMT
NPI 1629318431
Massage Therapist in North Myrtle Beach, SC

Active since February 15, 2013
211 HIGHWAY 17 N, NORTH MYRTLE BEACH, SC 29582(843) 489-0788 Get Directions Write a Review

NPPES record last updated: May 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 12, 2023, Dec 7, 2022, Sep 15, 2022 and 1 more (4 updates tracked since 2020).

About Shannon Marie Willoughby Lmt NPPES

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

SHANNON MARIE WILLOUGHBY LMT (NPI 1629318431) is an individual massage therapist in North Myrtle Beach, South Carolina, licensed in South Carolina (3485) and active in the NPI registry since February 2013.

NPPES Registry Identity

NPI1629318431
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameSHANNON MARIE WILLOUGHBYCredential: LMT
Location Address211 HIGHWAY 17 NNorth Myrtle Beach, SC 29582-8107
Mailing Address6703 Jefferson Pl Apt B7Myrtle Beach, SC 29572-3708 · (843) 232-6357
Sole ProprietorYes
Enumeration DateFebruary 15, 2013
Last NPPES UpdateMay 12, 20234 updates tracked since enumeration
NPPES CertifiedMay 12, 2023
NPI 1629318431 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 SC · 3485
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.
211 HIGHWAY 17 N, North Myrtle Beach, SC 29582

Other Providers at the Same Location NPPES

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

Chiropractor
211 HIGHWAY 17 N, SUITE 201
NORTH MYRTLE BEACH, SC 29582

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 Willoughby's NPI number?

The NPI number for Shannon Willoughby is 1629318431. It was assigned to this individual provider in the NPPES registry on February 15, 2013.

Where is Shannon Willoughby located?

Shannon Willoughby practices at 211 Highway 17 N, North Myrtle Beach, SC 29582. The listed phone number is (843) 489-0788.

What is Shannon Willoughby'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 Willoughby was last updated on May 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.