Provider Demographics
NPI:1457424145
Name:STOUFFER, ANDREA K (DPT)
Entity Type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:K
Last Name:STOUFFER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 CATHEDRAL VISTA LN
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93110-4254
Mailing Address - Country:US
Mailing Address - Phone:805-687-3565
Mailing Address - Fax:
Practice Address - Street 1:UCSB STUDENT HEALTH BUILDING 588, M/C 7002
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93106-4231
Practice Address - Country:US
Practice Address - Phone:805-893-3193
Practice Address - Fax:805-893-4887
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 253192251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic