Individual
CAROLINE NICOLE CHAMPION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 CYPRESS CREEK RD STE B1, CEDAR PARK, TX 78613-4477
(512) 918-0444
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
(726) 202-3039
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1386326
TX
225700000X
Massage Therapist
23497
OR
Other
Enumeration date
11/15/2017
Last updated
12/28/2023
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