Champion, Kailee
Champion, Kailee is an sole proprietor health care provider with primary practice located at 3449 Rezanof Drive East , Kodiak AK 99615. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Champion, Kailee can be contacted via phone (907) 486-2059.Contact Information
Primary practice address
3449 Rezanof Drive East
Kodiak AK 99615
Phone: (907) 486-2059
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 102033 | Alaska |
Profile Details
| NPI number | 1447612056 |
|---|---|
| LBN Legal business name | Champion, Kailee |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 23rd, 2016 |
| Last updated | Mar 23rd, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447612056 | NPPES |
| Alaska | Other | 102033 | MASSAGE THERAPY LICENSE |
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