Shannon Marie Willoughby, LMT

NPI #1629318431 in North Myrtle Beach, South Carolina

Provider Information

NPI Number: 1629318431
Entity Type: Individual
Name: Shannon Marie Willoughby, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Feb 15, 2013
Last Updated: May 12, 2023

Practice Location

Address: 211 HIGHWAY 17 N
City: North Myrtle Beach
State: South Carolina
ZIP Code: 29582-8107
Phone: (843) 489-0788

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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