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NPI Code Detail

MEDICARE: KRISTIN GUEDRY DPT

MEDICARE: KRISTIN GUEDRY DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1578882056
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN GUEDRY DPT
Provider Business Mailing Address
First Line : 1326 CHURCH ST
Second Line :
City : ZACHARY
State : LA
Zip : 70791-2743
Country : US
Telephone Number : 225-751-8512
Fax Number : 225-751-8514
Provider Business Practice Location Address
First Line : 6723 JEFFERSON HWY
Second Line :
City : BATON ROUGE
State : LA
Zip : 70806-8106
Country : US
Telephone Number : 225-926-2400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2010
Last Update Date : 04/20/2017

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Directions to “ KRISTIN GUEDRY DPT” Practice Location

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