Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATIE J SHANNON, ATC/LAT
Active Sole ProprietorKATIE J SHANNON, ATC/LAT is a Physical Medicine & Rehabilitation healthcare provider located in MOUNTAIN GROVE, Missouri. NPI 1619450244 is currently active in the NPPES registry. Verify at CMS.
Physical Medicine & Rehabilitation · MOUNTAIN GROVE, MO
Registration Details
- NPI Number
- 1619450244
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 10, 2018 (7.9415097836617 yrs)
- Last Updated
- Sep 10, 2018
- License
-
2018032324 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1206 N MAIN STMOUNTAIN GROVE, MO, 657111025Browse MO providers · Browse ZIP 65711
- Phone
- 4179265699
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.