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Katie Shannon, ATC/LAT
NPI 1619450244 · on the registry since 2018 · sole proprietor
Practice
- Address
- 1206 N Main St
Mountain Grove, MO 65711 - Phone
- (417) 926-5699
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 208100000X
208100000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-09-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri