SHANNA SULLIVAN

KIRKSVILLE, MO
NPI1811874241
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MO  2024013845)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: MT  12600)
225X00000X Occupational Therapist
(Licence: MA  OTL15322)
225X00000X Occupational Therapist
(Licence: TX  124584)
Enumeration Date2025-08-18
Last Update Date2025-08-18
Business Address
SHANNA SULLIVAN
315 S OSTEOPATHY AVE
KIRKSVILLE, MO 63501-6401
Phone number: 843-855-0196
Mailing Address
SHANNA SULLIVAN
315 S OSTEOPATHY AVE
KIRKSVILLE, MO 63501-6401
Phone number: