Active NPIIndividual provider

Shannon M Kannally, OTR

Occupational Therapist in Norfolk, Massachusetts

NPI Number1639994304
Practice location
65 Holbrook St Ste 130, Norfolk, MA 02056-1849
Fax
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Last updated
November 18, 2024

Shannon Marie Kannally is an Occupational Therapist based in Norfolk, MA. Shannon Marie Kannally practices in Norfolk, MA and has the professional credentials of OTR. The NPI Number for Shannon Marie Kannally is 1639994304 and holds a License No. 15552 (MA). The current practice location address for Shannon Marie Kannally is 65 Holbrook St Ste 130, Norfolk, MA 02056-1849 and can be reached out via phone at 508-426-6491.

Provider Profile Details

NPI Number
1639994304
Provider Name
Shannon Marie Kannally
Credential
OTR
Provider Entity Type
Individual
Gender
Female
Address
65 Holbrook St Ste 130, Norfolk, MA 02056-1849
Phone Number
508-426-6491
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Provider Enumeration Date
November 18, 2024
Last Update Date
November 18, 2024
Certification Date
November 18, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
65 Holbrook St Ste 130
Norfolk, MA 02056-1849
Zip
02056-1849
Phone Number
508-426-6491
Norfolk, MA 02056Get directions →

Provider Business Mailing Address Details

Address
160 Hickory RD
Wrentham, MA 02093-1075
City
Wrentham
State
MA
Zip
02093-1075
Phone Number
508-954-4612

License Information

License Number
15552
License State
MA
Taxonomy
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shannon M Kannally, OTR?

The NPI number of Shannon M Kannally, OTR is 1639994304. It was assigned on November 18, 2024 and is currently active in the NPPES registry.

What is the specialty of Shannon M Kannally, OTR?

Shannon M Kannally, OTR is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in MA under license number 15552.

Where does Shannon M Kannally, OTR practice?

The practice location is 65 Holbrook St Ste 130, Norfolk, MA 02056-1849. The office can be reached at 508-426-6491 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639994304 directly on the NPPES registry website.

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