Doctor Name: | MR. CHRISTOPHER D BUDNY |
NPI Number: | 1053469213 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMT, NCTMB, CPFT |
License Number: | LMT506 |
Business Practice Address: | 3121 Creech Dr. Southaven, MS - 38671 |
Business Phone Number: | 6623496822 |
Business Fax Number: | 6623496823 |
Mailing Address: | Po Box 1515, SOUTHAVEN |
State: | MS |
Postal Code: | 386710016 |
Phone Number: | 6623496822 |
Fax Number: | 6623496823 |
NPI Enumeration Date: | 01/06/2007 |
NPI Last Update Date: | 06/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | LMT506 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |