Search › Texas › 101YP2500X

Shannon Trace, MS

NPI 1477089506 · on the registry since 2017 · sole proprietor

Practice

Address
1785 State Highway 26 Ste 200
Grapevine, TX 76051
Phone
(817) 329-5049
Organisation at this address
Nutriliciousbyz
Peak Medical Pllc
Elevated Health Services
Ready Set Grow Therapy Llc
D J Montgomery Enterprise, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
106H00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-01-28

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 Texas