Kieran J Shannon

NPI #1982236840 in Bohemia, New York

Provider Information

NPI Number
1982236840
Entity Type
Individual
Name
Kieran J Shannon
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Enumeration Date
Feb 9, 2020
Last Updated
Feb 9, 2020

Practice Location

Address
3330 VETERANS MEMORIAL HWY
ZIP Code
11716-1036
Phone
(631) 672-2854

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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