KIERAN J SHANNON
NPI 1982236840
Massage Therapist in Bohemia, NY

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: July 19, 2026.

  • 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
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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.

Ophthalmology
3330 VETERANS MEMORIAL HWY, SUITE9
BOHEMIA, NY 11716

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.