Individual
TODD ANDREW CHAMPLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8106
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8106
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05006761A
IN
2255A2300X
Athletic Trainer
36000646A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05006761A
PHYSICAL THERAPIST LICENS
IN
Enumeration date
07/09/2006
Last updated
05/11/2021
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