Edwin Shannon

NPI 1881500825 · on the registry since 2026 · sole proprietor

Practice

Address: 3852 Virginia Beach Blvd Ste B
Virginia Beach, VA 23452
Phone: (757) 402-3092
Organisation at this address: Boyette Enterprises Llc
Back To Life Massage Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 225700000X
225700000X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-08-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia