Shannon K Groth, DPT | |
111 Riverfront, Winona, MN 55987-3456 | |
(507) 454-8700 | |
Not Available |
Full Name | Shannon K Groth |
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Gender | Female |
Speciality | Physical Therapist |
Location | 111 Riverfront, Winona, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992243596 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 14920 (Wisconsin) | Secondary |
225100000X | Physical Therapist | 10347 (Minnesota) | Primary |
Provider Name | Gundersen Clinic Ltd |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1851343115 PECOS PAC ID: 9638082779 Enrollment ID: O20031113000579 |
Mailing Address | Practice Location Address |
---|---|
Shannon K Groth, DPT 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 | Shannon K Groth, DPT 111 Riverfront, Winona, MN 55987-3456 Ph: (507) 454-8700 |
Kristin Louise Lawson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 420 E Sarnia St, Winona, MN 55987 Phone: 507-494-5761 Fax: 507-453-3791 | |
Bradley Allen Heineck, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 66 Shady Oak Ct, Winona, MN 55987 Phone: 507-454-0000 Fax: 507-454-6724 | |
Eric Norman, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1122 W Highway 61, Winona, MN 55987 Phone: 507-615-0600 | |
Dr. Michael Kurek, PT, DPT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1512 W Service Dr, Winona, MN 55987 Phone: 507-474-6900 | |
Mrs. Kelly Marie Ripp, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1512 W Service Dr, Winona, MN 55987 Phone: 507-474-6900 | |
Mrs. Stacey Ann Keller, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1512 W Service Dr, Winona, MN 55987 Phone: 507-474-6900 | |
Mackenzie Christine Lyttle, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1512 W Service Dr, Winona, MN 55987 Phone: 507-474-6900 |