Provider Demographics
NPI:1396923652
Name:BARSS, JAY MICHAEL (MA, ATC, CSCS)
Entity type:Individual
Prefix:
First Name:JAY
Middle Name:MICHAEL
Last Name:BARSS
Suffix:
Gender:M
Credentials:MA, ATC, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:943 TORRANCE ST
Mailing Address - Street 2:#2
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-3886
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:943 TORRANCE ST
Practice Address - Street 2:#2
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-3886
Practice Address - Country:US
Practice Address - Phone:858-245-2075
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-08
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer