MR. CHRISTOPHER D BUDNY LMT, NCTMB, CPFT, NPI 1053469213 — SOUTHAVEN (MS)

NPI 1053469213

12+ Years Experience Individual

MR. CHRISTOPHER D BUDNY LMT, NCTMB, CPFT

01.06.2007
PROVIDER ENUMERATION DATE
06.09.2009
LAST UPDATE DATE
1053469213
NPI NUMBER

About MR. CHRISTOPHER D BUDNY

Sole proprietor? Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor.

MR. CHRISTOPHER D BUDNY is a provider established in SOUTHAVEN, MS. The NPI number of MR. CHRISTOPHER D BUDNY is 1053469213 and was assigned on 01.06.2007. The practitioners primary taxonomy code is: 225700000X with license number: LMT506 MS .

Mailing address

  • City: SOUTHAVEN
  • State: MS
  • Postal code: 386710016
  • Phone: 6623496822
  • Fax: 6623496823
  • Address: PO BOX 1515

Primary Practice Address

  • Region : SOUTHAVEN, MS
  • NPI : 1053469213
  • Phone : 6623496822
  • Fax : 6623496823
  • Postalcode : 38671
  • Address : 3121 CREECH DR.

Provider taxonomy - Massage Therapist

  • Taxonomy code: 225700000X
  • License number: LMT506
  • License state: MS

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy description: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Contacts:

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  • MR. CHRISTOPHER D BUDNY LMT, NCTMB, CPFT
  • Address : 3121 CREECH DR.
  • Region : SOUTHAVEN, MS
  • NPI : 1053469213
  • Phone : 6623496822
  • Fax : 6623496823
  • Postalcode : 38671

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address3121 CREECH DR.
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameSOUTHAVEN
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameMS
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code38671
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number6623496822
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number6623496823
The fax number associated with the location address of the provider being identified.
NPI1053469213
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1225700000X
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
Provider Enumeration Date01.06.2007
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated06.09.2009
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)MR. CHRISTOPHER D BUDNY
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing AddressPO BOX 1515
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameSOUTHAVEN
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameMS
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code386710016
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number6623496822
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number6623496823
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Healthcare Provider Taxonomy Code #1225700000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Massage Therapist
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
Provider License Number 1LMT506
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1MS
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeM
  • M - male
  • F - female
Is sole proprietorY
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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