Provider Demographics
NPI:1770035891
Name:PARSONS, BARRY (ATC)
Entity Type:Individual
Prefix:
First Name:BARRY
Middle Name:
Last Name:PARSONS
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 1:5472 CABRILLO SUR
Mailing Address - Street 2:
Mailing Address - City:EL SOBRANTE
Mailing Address - State:CA
Mailing Address - Zip Code:94803-3872
Mailing Address - Country:US
Mailing Address - Phone:510-642-3868
Mailing Address - Fax:510-642-0200
Practice Address - Street 1:185 HAAS PAVILION
Practice Address - Street 2:UCB - ATHLETICS SPORTS MEDICINE
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94720-0001
Practice Address - Country:US
Practice Address - Phone:510-642-3868
Practice Address - Fax:510-642-0200
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-25
Last Update Date:2016-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer