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

Shanna Sullivan

Individual provider Occupational Therapist · NPI 1811874241

Shanna Sullivan is an Occupational Therapist in Kirksville, Missouri. Practices as a sole proprietor. Licensed in Massachusetts, Missouri, Montana and Texas.

Licensed in
MA, MO, MT, TX
In the registry since
2025
Specialties on file
4

Practice location Address checks out

315 S Osteopathy Ave
Kirksville, MO 63501-6401
Phone: (843) 855-0196
Show map & directions

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

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 2024013845 (MO)
Occupational Therapist Taxonomy 225X00000X · Licence 12600 (MT)
Occupational Therapist Taxonomy 225X00000X · Licence OTL15322 (MA)
Occupational Therapist Taxonomy 225X00000X · Licence 124584 (TX)

Record details

NPI number1811874241
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 18, 2025
Last updated in NPPESAugust 18, 2025
Certification dateAugust 18, 2025
Mailing address315 S Osteopathy Ave, Kirksville, MO 63501-6401

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