Kanchana Bunnithi, MASSAGE THERAPIST

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

411038565 Issued in MN

Practice address

1675 Southdale Ctr
Edina, MN 55435-7015

Phone

(952) 922-3600

Fax

(952) 922-3600

NPI assigned

Apr 13, 2011

Last updated

Apr 13, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ocean Waves Massage & 02 Lounge

  • Massage Therapist
  • Edina, MN
  • NPI 1720378706
  NPD (past)
• Zen Chiropractic Inc

  dba Zen Healing Center

  • Chiropractor
  • Eden Prairie, MN
  • NPI 1750671277
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302652800000",
    "number": "1972893774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 SOUTHDALE CTR",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357015",
            "telephone_number": "952-922-3600",
            "fax_number": "952-922-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 SOUTHDALE CTR",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357015",
            "telephone_number": "952-922-3600",
            "fax_number": "952-922-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNNITHI",
        "first_name": "KANCHANA",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-13",
        "last_updated": "2011-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MN",
            "license": "411038565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Lynn Buchman, MD
• Kaitlin Elizabeth Buckle, WHNP
• Michele A Buda-Carlson, CRNA
• Judith Budde Snook Sr., M.D.
• Miguel Lorenzo Bueno, RN
• David D Burdette, MD
• Katherine Burek, ADC-T
• Briana Burgan, AUD
• Evan M Burgart, MS, PA-C
• Jennifer Marie Burgart, MD

• Massage Therapist in Edina, MN
• Providers in Edina, MN by specialty
• Massage Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.