Individual
SHANNON WICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, MLD-C
Contact information
Practice address
808 RUSSELL PALMER RD, KINGWOOD, TX 77339-1689
(281) 858-3893
Mailing address
5200 ANDORRA BEND LN, PORTER, TX 77365-7072
(281) 851-7893
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT102859
TX
Other
Enumeration date
07/21/2026
Last updated
07/21/2026
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