Healthcare Provider Details

I. General information

NPI: 1275420929
Provider Name (Legal Business Name): WILLIAM MYERS BYBEE DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2025
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

165 NATCHEZ TRACE AVE STE 200
BOWLING GREEN KY
42103-7947
US

IV. Provider business mailing address

201 PARK ST
BOWLING GREEN KY
42101-1742
US

V. Phone/Fax

Practice location:
  • Phone: 270-796-4698
  • Fax: 270-782-3274
Mailing address:
  • Phone: 270-796-4698
  • Fax: 270-782-3274

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number009185
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT7190
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: