Christopher Allen Balduf, LMT
Individual provider Active NPI Massage Therapist · Fayetteville, NC
NPI 1730929977 · NPPES record last updated May 27, 2024
Key facts
- NPI
- 1730929977
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 18722 (NC)
- Practice address
- 5511 Raeford Rd Ste 100
Fayetteville, NC 28304-2056 - Phone
- (910) 487-1300
- NPI assigned
- May 27, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18722 | NC | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Chiropractic Care | Current |
Accepting new patients |
Locations
5511 Raeford Rd
Ste 100
Fayetteville, NC 28304
Phone (910) 487-1300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 18722 | NC | Yes |
Addresses
Primary practice location
5511 Raeford Rd Ste 100
Fayetteville, NC 28304-2056
Mailing address
5511 Raeford Rd Ste 100
Fayetteville, NC 28304-2056
Phone (910) 487-1300
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- Charles L Balch
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- Carmilia Baldwin
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All providers in Fayetteville, NC · Massage Therapist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.