Shannon Rose Willshaw, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

10828 Gravelly Lake Dr SW Ste 112
Lakewood, WA 98499-1300

Phone

(425) 697-0823

NPI assigned

May 17, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Treat Yourself Day Spa

  • Massage Therapist
  • Lynnwood, WA
  • NPI 1912240961

  Single Specialty

  NPD

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735430400000",
    "number": "1215144183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10828 GRAVELLY LAKE DR SW STE 112",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984991300",
            "telephone_number": "425-697-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10828 GRAVELLY LAKE DR SW STE 112",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984991300",
            "telephone_number": "425-697-0823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLSHAW",
        "first_name": "SHANNON",
        "middle_name": "ROSE",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2024-12-29",
        "certification_date": "2024-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00022844",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Promise Azure Williams
• Stephanie Lynn Williams, BA
• Jack D Williamson, LCSW
• Svetlana Willingham
• Meghan Willoughby, MOT, OTR/L
• Chloe Wilmarth, LMHC
• Angela Wilson Moroney
• Antonia C Wilson
• Brynn Wilson
• Cassandra Susann Wilson, CDPT

• Massage Therapist in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2024; 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.