Provider Demographics
NPI:1518798073
Name:MEYERS, SYDNEY LYNN
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:LYNN
Last Name:MEYERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SYDNEY
Other - Middle Name:LYNN
Other - Last Name:SHEPHERD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:145 E BALTIMORE ST STE 2
Mailing Address - Street 2:
Mailing Address - City:GREENCASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:17225-1215
Mailing Address - Country:US
Mailing Address - Phone:717-643-1813
Mailing Address - Fax:
Practice Address - Street 1:145 E BALTIMORE ST STE 2
Practice Address - Street 2:
Practice Address - City:GREENCASTLE
Practice Address - State:PA
Practice Address - Zip Code:17225-1215
Practice Address - Country:US
Practice Address - Phone:717-643-1813
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-08
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT032643225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist