Shannon Louise Sexton Potter, LMT is a
Massage Therapist based in Putnam, Connecticut. Shannon Louise Sexton Potter is licensed to practice in Connecticut (license number 29011535) and her current practice location is
58 Pomfret St, Putnam, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(603) 315-0525.
NPI number for Shannon Louise Sexton Potter is 1861834301 and her current mailing address is 31 Canterbury Rd, Brooklyn, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861834301.
Healthcare Provider's Profile
| Full Name | Shannon Louise Sexton Potter |
|---|
| Gender | Female |
|---|
| Speciality | Massage Therapist |
|---|
| Location | 58 Pomfret St, Putnam, Connecticut |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861834301
- Provider Enumeration Date: 07/25/2013
- Last Update Date: 10/27/2025
Medical Identifiers
Medical identifiers for Shannon Louise Sexton Potter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1861834301 | NPI | - | NPPES |
| 29011535 | Other | CT | CT |
| MT01810 | Other | RI | LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225700000X | Massage Therapist | 29011535 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon Louise Sexton Potter is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Shannon Louise Sexton Potter, LMT 31 Canterbury Rd, Brooklyn, CT 06234-1901 Ph: (603) 315-0525 | Shannon Louise Sexton Potter, LMT 58 Pomfret St, Putnam, CT 06260-1888 Ph: (603) 315-0525 |
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