Provider Demographics
NPI:1275420929
Name:BYBEE, WILLIAM MYERS (DPT)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:MYERS
Last Name:BYBEE
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 1:306 CANARY DR
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701-8554
Mailing Address - Country:US
Mailing Address - Phone:270-304-6221
Mailing Address - Fax:
Practice Address - Street 1:2001 N HORSESHOE TRL
Practice Address - Street 2:
Practice Address - City:SILT
Practice Address - State:CO
Practice Address - Zip Code:81652-9832
Practice Address - Country:US
Practice Address - Phone:970-876-5700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-23
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT7190225100000X
KY009185225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist