Shannon Wick, LMT, MLD-C

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT102859 Issued in TX

Practice address

808 Russell Palmer Rd
Kingwood, TX 77339-1689

Phone

(281) 858-3893

NPI assigned

Jul 21, 2026

Last updated

Jul 21, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

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

• Beni Massage & Wellness LLC

  • Massage Therapist
  • Kingwood, TX
  • NPI 1407776123
  NPD (past) Authorized official

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

{
    "created_epoch": "1784592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1922928654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 ANDORRA BEND LN",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773657072",
            "telephone_number": "281-851-7893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 RUSSELL PALMER RD",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773391689",
            "telephone_number": "281-858-3893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICK",
        "first_name": "SHANNON",
        "credential": "LMT, MLD-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-21",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT102859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aerial White
• Franchase Lee White, RBT
• Megan White, CPHT
• Tenesha Whitfield
• Harold Clark Whitmire Jr., D.M.D., J.D.
• Samuel Cullen Wilder, MD
• Amanda Wilks
• William a Stellenwerf Jr DDS PC
• Ashley Alicia Williams, PHARMD
• Austin Douglas Williams, MD

• Massage Therapist in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.