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Individual

KYLE DAVID GUIDRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
14420 W MEEKER BLVD, SUITE 300, SUN CITY WEST, AZ 85375-5286
(623) 537-5600
(623) 537-5601
Mailing address
14420 W MEEKER BLVD, SUITE 300, SUN CITY WEST, AZ 85375-5286
(623) 537-5600
(623) 537-5601

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6398
AZ
2251G0304X
Geriatric Physical Therapist
6398
AZ
2251H1200X
Hand Physical Therapist
6398
AZ
2251P0200X
Pediatric Physical Therapist
6398
AZ
2251S0007X
Sports Physical Therapist
6398
AZ
2251X0800X
Orthopedic Physical Therapist
6398
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106584
AZ
Enumeration date
06/12/2006
Last updated
10/16/2007
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