Provider Demographics
NPI:1275583890
Name:BUDNEY, BRUCE (MSPT)
Entity Type:Individual
Prefix:
First Name:BRUCE
Middle Name:
Last Name:BUDNEY
Suffix:
Gender:M
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 TUNNEL ROAD
Mailing Address - Street 2:VA MEDICAL CENTER
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28805
Mailing Address - Country:US
Mailing Address - Phone:828-299-2551
Mailing Address - Fax:828-299-5946
Practice Address - Street 1:1100 TUNNEL ROAD
Practice Address - Street 2:VA MEDICAL CENTER
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28805
Practice Address - Country:US
Practice Address - Phone:828-299-2551
Practice Address - Fax:828-299-5946
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2507225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist