Shannon Chertkoev, OTR
Occupational Therapist in Dallas, TX. Individual provider (NPI-1).
NPI number1346190816
StatusActive
Last updated in NPPESFeb 3, 2026
Details
- NPI
- 1346190816
- Entity type
- Individual (NPI-1)
- Name
- Shannon Chertkoev
- Credential
- OTR
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 2, 2026
- Certification date
- Feb 3, 2026
- Last updated
- Feb 3, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | – | – | Yes |
Other names
- Shannon Neal (Former Name)
Practice location
9714 Hathaway StDallas, TX 75220-2114
Phone 240-586-4130
Mailing address
9714 Hathaway StDallas, TX 75220-2114
Phone 240-586-4130
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