KIERAN J SHANNON NPI 1982236840

NPI Information

  • NPI: 1982236840
  • Provider Name: KIERAN J SHANNON
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 3330 VETERANS MEMORIAL HWY
    BOHEMIA, NY
    ZIP 11716
  • Phone: (631) 672-2854

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NPI Details

Kieran J Shannon is a massage therapist in Bohemia, NY. The provider is 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. Kieran J Shannon NPI is 1982236840. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3330 VETERANS MEMORIAL HWY
BOHEMIA, NY
ZIP 11716-036
Phone: (631) 672-2854

The enumeration date for this NPI number is 2/9/2020 and was last updated on 2/9/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage Therapist032022NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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