| Organization Name: | KYLE D GUIDRY |
| NPI Number: | 1194088476 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KYLE DAVID GUIDRY (OWNER) |
| Mailing Address: | 15949 N Cristine Ln Surprise |
| State: | AZ US |
| Postal Code: | 853881292 |
| Phone Number: | 6235182127 |
| Fax Number: | 6235182127 |
| NPI Enumeration Date: | 06/21/2012 |
| NPI Last Update Date: | 07/18/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 6398 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| 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 |