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

Mrs. Shannon Michelle Moore

Individual provider Developmental Therapist · NPI 1326388893

Mrs. Shannon Michelle Moore is a Developmental Therapist in Keavy, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2013
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Practice location Address checks out

340 Ralley Rd
Keavy, KY 40737-2729
Phone: (606) 682-7333
Fax: (606) 864-3897
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X · Licence 201093768 (KY)

Record details

NPI number1326388893
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 21, 2013
Last updated in NPPESAugust 26, 2013