Individual provider · Type 1 NPI

Kieran J. Shannon

Massage Therapist · Bohemia, NY

NPI number 1982236840 Active

Practice location

3330 Veterans Memorial Hwy
Bohemia, NY 11716-1036

Call (631) 672-2854 Map

Mailing address

3129 Wilshire Ln
Oakdale, NY 11769-1441

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X032022 (NY)

Massage Therapist: 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.

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About NPI 1982236840

Kieran J. Shannon's National Provider Identifier is 1982236840, issued on Feb 9, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bohemia, NY. The record was last updated on Feb 9, 2020.