Individual
BRANDI CHAMPION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1925 OLD MAIN ST, MAYSVILLE, KY 41056-8984
(606) 956-0535
Mailing address
51016 US 62, MAYSLICK, KY 41055-8826
(606) 407-0330
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
165229
KY
237700000X
Hearing Instrument Specialist
Primary
284181
KY
Other
Enumeration date
02/03/2019
Last updated
04/03/2023
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