Provider Demographics
NPI:1134357247
Name:BUDNIK, NATALYA Y (LMP)
Entity type:Individual
Prefix:
First Name:NATALYA
Middle Name:Y
Last Name:BUDNIK
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1704 SCENIC DR
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98203-6750
Mailing Address - Country:US
Mailing Address - Phone:425-346-8241
Mailing Address - Fax:
Practice Address - Street 1:1704 SCENIC DR
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98203-6750
Practice Address - Country:US
Practice Address - Phone:425-346-8241
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-26
Last Update Date:2009-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60002472225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist