Provider Demographics
NPI:1962716076
Name:DANSEY, ASHLEY ROSE (PT)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:ROSE
Last Name:DANSEY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:ROSE
Other - Last Name:DURON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:3070 MADISON ST
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-2310
Mailing Address - Country:US
Mailing Address - Phone:760-591-7750
Mailing Address - Fax:760-294-9813
Practice Address - Street 1:9830 PROSPECT AVE
Practice Address - Street 2:STE A
Practice Address - City:SANTEE
Practice Address - State:CA
Practice Address - Zip Code:92071-4375
Practice Address - Country:US
Practice Address - Phone:619-448-4860
Practice Address - Fax:619-448-1639
Is Sole Proprietor?:No
Enumeration Date:2010-07-30
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 36952225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAED668XOtherMEDICARE PTAN
CAED668YOtherMEDICARE PTAN