Shannon Lynn Smith

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7501002581 Issued in MI

Practice address

15131 Northville Rd
Plymouth, MI 48170-2548

Phone

(734) 309-1103

NPI assigned

Sep 6, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1104308014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15131 NORTHVILLE RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702548",
            "telephone_number": "734-309-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15131 NORTHVILLE RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702548",
            "telephone_number": "734-309-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHANNON",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501002581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Smith, M.ED, BCBA
• Ronald Smith, CCP
• Salina Danielle Smith, BA
• Shad Smith
• Shae Smith
• Shantel Smith
• Shayla Smith
• Timothy Smith
• William Spencer Smith
• Kenneth Wilkinson Smythe, MD

• Massage Therapist in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Massage Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.