IndividualActive
Shannon Stallworth, L.M.T,NCTMB
NPI 1013190297 · Specialist · Mattoon, IL
Shannon Stallworth, L.M.T,NCTMB is a Specialist provider in Mattoon, IL (NPI 1013190297).
Provider details
- NPI number
- 1013190297
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- L.M.T,NCTMB
- Sex
- Female
- Sole proprietor
- Yes
Practice location
921 Lake Land Blvd
Mattoon, IL 61938-5521
Phone: (217) 235-3100
Street-level locationGet directions
Mailing address
921 Lake Land Blvd
Mattoon, IL 61938-5521
Registry dates
- Enumerated
- 2007-12-11
- Last updated
- 2007-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.