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

Mrs. Shannon Lynn Stallworth, LMT, NCTMB

Individual provider Specialist · NPI 1013190297

Mrs. Shannon Lynn Stallworth, LMT, NCTMB is a Specialist in Mattoon, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2007
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

921 Lake Land Blvd
Mattoon, IL 61938-5521
Phone: (217) 235-3100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X (IL)

Record details

NPI number1013190297
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT , NCTMB
Sole proprietorYes
NPI enumeratedDecember 11, 2007
Last updated in NPPESDecember 11, 2007

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