Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Corwin Randolph Shirley, LMT

Individual provider Massage Therapist · NPI 1619792991

Corwin Randolph Shirley, LMT is a Massage Therapist in Leland, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2024
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

8060 Purchase Pl NE Unit 4
Leland, NC 28451-0977
Phone: (910) 725-4325
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 19204 (NC)

Record details

NPI number1619792991
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedNovember 20, 2024
Last updated in NPPESNovember 20, 2024
Certification dateNovember 20, 2024
Mailing address8060 Purchase Pl Ne Unit 4, Leland, NC 28451-0977

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