Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ian Kevin Gannon, COTA

Individual provider Occupational Therapy Assistant · NPI 1235874165

Ian Kevin Gannon, COTA is an Occupational Therapy Assistant in Lubbock, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2022
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

4510 Ironton Ave Apt 12206
Lubbock, TX 79407-3816
Phone: (806) 577-6706
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 241330 (TX)

Record details

NPI number1235874165
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA
Sole proprietorYes
NPI enumeratedMay 4, 2022
Last updated in NPPESMay 4, 2022
Certification dateMay 3, 2022

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