IndividualActive
Matthew Govednik
NPI 1194280024 · Physical Therapy Assistant · Dwight, IL
Provider details
- NPI number
- 1194280024
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 160.008221 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
300 E Mazon Ave
Dwight, IL 60420-1104
Phone: (815) 584-1240
Approximate (ZIP-level) locationGet directions
Mailing address
945 W Bergera Rd
Braidwood, IL 60408-1657
Registry dates
- Enumerated
- 2019-02-05
- Last updated
- 2019-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.