| Doctor Name: | MATTHEW MICHAEL GUEDE |
| NPI Number: | 1154600898 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 2007036353 |
| Business Practice Address: | 2900 Charlevoix Dr Se Ste 200 Grand Rapids, MI - 495467086 |
| Business Phone Number: | 8006848048 |
| Business Fax Number: | 8003251326 |
| Mailing Address: | 812 N 6th St, CHILLICOTHE |
| State: | IL |
| Postal Code: | 615231756 |
| Phone Number: | 2176499143 |
| Fax Number: | |
| NPI Enumeration Date: | 08/11/2011 |
| NPI Last Update Date: | 08/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2007036353 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |