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

Mr. Shannon Carl Nelson, OTR

Individual provider General Acute Care Hospital · NPI 1104029388

Mr. Shannon Carl Nelson, OTR is a General Acute Care Hospital in Red Lake, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2007
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

See every abbreviation used in this directory →

Practice location Address checks out

Highway 1 Box 497
Red Lake, MN 56671
Phone: (218) 679-3316
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Acute Care Hospital (primary) Taxonomy 282N00000X · Licence 102239 (MN)

Record details

NPI number1104029388
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR
Sole proprietorYes
NPI enumeratedJune 6, 2007
Last updated in NPPESJuly 8, 2007

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