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Organization

NORTH BIG HORN HOSPITAL DISTRICT

Active
Other names
Granite Rehabilitation and Wellness
Organization subpart
No

Provider details

NPI number
Authorized official
ERIC SHUMWAY CONNELL (CEO)
(307) 548-5203
Entity
Organization

Contact information

Practice address
3128 BOXELDER DR, CHEYENNE, WY 82001-5808
(307) 634-7901
(307) 634-7910
Mailing address
4601 NE 77TH AVE STE 300, VANCOUVER, WA 98662-6736
(360) 837-0400
(360) 967-0022

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
225X00000X
Occupational Therapist
227900000X
Registered Respiratory Therapist
235Z00000X
Speech-Language Pathologist
314000000X
Skilled Nursing Facility
Primary

Other

Enumeration date
10/02/2025
Last updated
10/15/2025
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