Organization
ROCKY MOUNTAIN SPORTS MEDICINE AND REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAELYN ANN KNUDSON (OFFICE ADMINISTRATOR)
(307) 352-3626
Entity
Organization
Contact information
Practice address
1401 GATEWAY BLVD STE 2, ROCK SPRINGS, WY 82901-6786
(307) 352-3626
(307) 352-3628
Mailing address
1401 GATEWAY BLVD UNIT 2, ROCK SPRINGS, WY 82901-6727
(307) 352-3626
(307) 352-3628
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118547100
—
WY
Enumeration date
08/16/2006
Last updated
07/06/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us