Organization
CERTIFIED REHAB SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY R BRADSHAW (OWNER)
(970) 482-7116
Entity
Organization
Contact information
Practice address
1807 LOGAN AVE, CHEYENNE, WY 82001-5007
(307) 433-1000
(307) 433-1005
Mailing address
1807 LOGAN AVE, CHEYENNE, WY 82001-5007
(307) 433-1000
(307) 433-1005
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
2008758
WY
332BC3200X
Customized Equipment (DME)
2008758
WY
335E00000X
Prosthetic/Orthotic Supplier
Primary
2008758
WY
Other
Enumeration date
08/30/2006
Last updated
09/11/2025
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