Katie J Shannon, ATC/LAT

NPI #1619450244 in Mountain Grove, Missouri

Provider Information

NPI Number
1619450244
Entity Type
Individual
Name
Katie J Shannon, ATC/LAT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Medicine & Rehabilitation
Credential
ATC/LAT
Enumeration Date
Sep 10, 2018
Last Updated
Sep 10, 2018

Practice Location

Address
1206 N MAIN ST
ZIP Code
65711-1025
Phone
(417) 926-5699

Specialties & Taxonomy Codes

Specialty
Physical Medicine & Rehabilitation

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