Provider Demographics
NPI:1972261840
Name:YEE, TYLER JAMES (DPT)
Entity type:Individual
Prefix:
First Name:TYLER
Middle Name:JAMES
Last Name:YEE
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 MCDONNEL RD
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94502-7782
Mailing Address - Country:US
Mailing Address - Phone:510-846-4236
Mailing Address - Fax:
Practice Address - Street 1:563 LA CONNER DR
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-5713
Practice Address - Country:US
Practice Address - Phone:510-846-4236
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-07
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA301373225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist