Individual
SHANNON K GROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
111 RIVERFRONT, WINONA, MN 55987-3456
(507) 454-8700
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10347
MN
225100000X
Physical Therapist
14920
WI
Other
Enumeration date
02/03/2017
Last updated
05/18/2020
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