KIERAN J SHANNON
NPI 1982236840
Massage Therapist in Bohemia, NY

Q: What is Kieran Shannon's NPI number?

The NPI number for Kieran Shannon is 1982236840. It was assigned to this individual provider in the NPPES registry on February 9, 2020.

Q: What is Kieran Shannon's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

Q: When was this NPI record last updated?

The NPPES record for Kieran Shannon was last updated on February 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 09, 2020

3330 VETERANS MEMORIAL HWY, BOHEMIA, NY 11716(631) 672-2854 Get Directions Write a Review

NPPES record last updated: February 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kieran J Shannon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIERAN J SHANNON (NPI 1982236840) is an individual massage therapist in Bohemia, New York, licensed in New York (032022) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1982236840

Entity TypeIndividualMale

Primary Taxonomy225700000X

Provider Legal NameKIERAN J SHANNON

Location Address3330 VETERANS MEMORIAL HWYBohemia, NY 11716-1036

Mailing Address3129 Wilshire LnOakdale, NY 11769-1441 · (631) 672-2854

Phone(631) 672-2854

Sole ProprietorYes

Enumeration DateFebruary 9, 2020

✔ NPI 1982236840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

License✔ Licensed in NY · 032022

Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

3330 VETERANS MEMORIAL HWY, Bohemia, NY 11716

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN D VICKERS MD

Ophthalmology

3330 VETERANS MEMORIAL HWY, SUITE9
BOHEMIA, NY 11716

Suffolk County (631) 285-6789

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kieran Shannon's NPI number?

The NPI number for Kieran Shannon is 1982236840. It was assigned to this individual provider in the NPPES registry on February 9, 2020.

Where is Kieran Shannon located?

Kieran Shannon practices at 3330 Veterans Memorial Hwy, Bohemia, NY 11716. The listed phone number is (631) 672-2854.

What is Kieran Shannon's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Kieran Shannon was last updated on February 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.