Healthcare Provider Details

I. General information

NPI: 1891605168
Provider Name (Legal Business Name): RYAN YEE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 FRANK RICHARDSON CT
SACRAMENTO CA
95823-5410
US

IV. Provider business mailing address

9833 BURROWING OWL WAY
ELK GROVE CA
95757-8137
US

V. Phone/Fax

Practice location:
  • Phone: 916-423-6041
  • Fax:
Mailing address:
  • Phone: 916-214-2944
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number311057
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: