KIERAN J SHANNON
NPI 1982236840
Massage Therapist in Bohemia, NY
- Individual
- Male
- Massage Therapist
About KIERAN SHANNON
This page provides the complete NPI Profile along with additional information for Kieran Shannon, a provider established in Bohemia, New York with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1982236840 assigned on February 2020. The practitioner's primary taxonomy code is 225700000X with license number 032022 (NY). The provider is registered as an individual and his NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.
- NPI
- 1982236840 Verify this NPI
- Provider Name
- KIERAN J SHANNON
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3330 VETERANS MEMORIAL HWY BOHEMIA, NY 11716
- Location Phone
- (631) 672-2854
- Mailing Address
- 3129 WILSHIRE LN OAKDALE, NY 11769
- Mailing Phone
- (631) 672-2854
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-09-2020
- Last Update Date
- 02-09-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Massage Therapist
- Taxonomy Code
- 225700000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 032022
- License State
- NY
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1982236840, enumerated as an "individual" on February 09, 2020.
The provider is located at 3330 VETERANS MEMORIAL HWY BOHEMIA, NY 11716 and the phone number is (631) 672-2854.
Massage Therapist with taxonomy code 225700000X.
