Healthcare Provider Details

I. General information

NPI: 1902979032
Provider Name (Legal Business Name): BRIAN ARTHUR YEE PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 02/25/2025
Certification Date: 02/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3280 PEACHTREE RD NE STE 110B
ATLANTA GA
30305-2430
US

IV. Provider business mailing address

3280 PEACHTREE RD NE STE 110B
ATLANTA GA
30305-2430
US

V. Phone/Fax

Practice location:
  • Phone: 404-382-8702
  • Fax:
Mailing address:
  • Phone: 404-441-0206
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT008407
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: