Katie J Shannon, ATC/LAT
Katie J Shannon, ATC/LAT is a Physical Medicine & Rehabilitation Physician in Mountain Grove, Missouri. Practices as a sole proprietor. Licensed in Missouri.
- Licensed in
- MO
- In the registry since
- 2018
Practice location Address checks out
1206 N Main StMountain Grove, MO 65711-1025
Phone: (417) 926-5699
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Medicine & Rehabilitation Physician (primary) | Taxonomy 208100000X · Licence 2018032324 (MO) |
|---|
Record details
| NPI number | 1619450244 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | ATC/LAT |
| Sole proprietor | Yes |
| NPI enumerated | September 10, 2018 |
| Last updated in NPPES | September 10, 2018 |