Healthcare Provider Details

I. General information

NPI: 1649773938
Provider Name (Legal Business Name): RASHID BARLEY ATC, CPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2018
Last Update Date: 10/11/2026
Certification Date: 10/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3401 MUSTANG WAY
HEMET CA
92545-9257
US

IV. Provider business mailing address

38445 ENCANTO RD
MURRIETA CA
92563-3212
US

V. Phone/Fax

Practice location:
  • Phone: 951-765-1600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: