OrganizationActive
Elevate Rehab, LLC
NPI 1003257601 · Physical Medicine & Rehabilitation Physician · Lander, WY
Provider details
- NPI number
- 1003257601
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michelle Mazur, Owner(307) 335-3471
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Physical Therapy Clinic/Center261QP2000X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
- Customized Equipment (DME)332BC3200X
Suppliers
Practice location
545 E Main St Ste B
Lander, WY 82520-3470
Phone: (307) 335-3471
Fax: (307) 332-5388
Approximate (ZIP-level) locationGet directions
Mailing address
545 E Main St Ste B
Lander, WY 82520-3470
Registry dates
- Enumerated
- 2013-07-11
- Last updated
- 2025-04-07
- Certified
- 2025-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.