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

Kieran J Shannon

Individual provider Massage Therapist · NPI 1982236840

Kieran J Shannon is a Massage Therapist in Bohemia, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
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Practice location Address checks out

3330 Veterans Memorial Hwy
Bohemia, NY 11716-1036
Phone: (631) 672-2854
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 032022 (NY)

Record details

NPI number1982236840
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 9, 2020
Last updated in NPPESFebruary 9, 2020
Certification dateFebruary 9, 2020

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