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

Jacqueline Shannon

Individual provider Pediatric Physical Therapist · NPI 1194137356

Jacqueline Shannon is a Pediatric Physical Therapist in Nashua, New Hampshire. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2014
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Practice location Address checks out

20 Industrial Park Dr
Nashua, NH 03062
Phone: (603) 882-4500
Fax: (603) 882-4545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence 21110 (MA)

Record details

NPI number1194137356
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 22, 2014
Last updated in NPPESSeptember 8, 2020
Certification dateSeptember 8, 2020

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