Individual
SHANNON GOODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
4727 JARBOE ST APT 31, KANSAS CITY, MO 64112-1352
(901) 330-9422
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2020029345
MO
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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