Organization
ROCKY MOUNTAIN SPORTS MEDICINE REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAELYN A KNUDSON (OFFICE ADMINISTRATOR)
(307) 352-3626
Entity
Organization
Contact information
Practice address
416 W BLAIR AVE, ROCK SPRINGS, WY 82901-7113
(307) 352-3626
(307) 352-3628
Mailing address
PO BOX 932, THAYNE, WY 83127-0932
(307) 883-4996
(307) 352-3628
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/17/2007
Last updated
10/11/2007
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