Provider Demographics
NPI:1265645360
Name:AMSDEN, DONALD JAMES (PT)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:JAMES
Last Name:AMSDEN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:802 KENTIA AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-3911
Mailing Address - Country:US
Mailing Address - Phone:805-682-1270
Mailing Address - Fax:
Practice Address - Street 1:STUDENT HEALTH BUILDING UCSB
Practice Address - Street 2:PHYSICAL THERAPY DEPARTMENT
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93106-0001
Practice Address - Country:US
Practice Address - Phone:805-893-3193
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10621225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist