# ELEVATE REHAB, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003257601
- **Authorized official:** MICHELLE L MAZUR (OWNER)
- **Authorized official phone:** (307) 335-3471

## Contact information

- **Practice address:** 545 E MAIN ST STE B, LANDER, WY 82520-3470
- **Practice address phone:** (307) 335-3471
- **Practice address fax:** (307) 332-5388
- **Mailing address:** 545 E MAIN ST STE B, LANDER, WY 82520-3470
- **Mailing address phone:** (307) 335-3471
- **Mailing address fax:** (307) 332-5388

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | — |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |

## Other

- **Enumeration date:** 07/11/2013
- **Last updated:** 04/07/2025