Provider Demographics
NPI:1679342018
Name:YANEY, SYDNEY LYVERS (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:SYDNEY
Middle Name:LYVERS
Last Name:YANEY
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4301 SHENANDOAH DR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40241-1868
Mailing Address - Country:US
Mailing Address - Phone:502-554-8179
Mailing Address - Fax:
Practice Address - Street 1:711 FRANKFORT RD
Practice Address - Street 2:
Practice Address - City:SHELBYVILLE
Practice Address - State:KY
Practice Address - Zip Code:40065-9447
Practice Address - Country:US
Practice Address - Phone:502-513-1875
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-27
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY008148225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist