Provider Demographics
NPI:1730305459
Name:ASBACH, DAVID ANTHONY (ATC)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:ANTHONY
Last Name:ASBACH
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:658 TREYMOOR LAKE CIR
Mailing Address - Street 2:
Mailing Address - City:ALABASTER
Mailing Address - State:AL
Mailing Address - Zip Code:35007-3169
Mailing Address - Country:US
Mailing Address - Phone:205-620-6161
Mailing Address - Fax:
Practice Address - Street 1:100 GRANDVIEW PL
Practice Address - Street 2:SUITE 400
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35243-1962
Practice Address - Country:US
Practice Address - Phone:205-298-6836
Practice Address - Fax:205-968-6163
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer