OrganizationActive
Powder River Physical Medicine & Rehabilitation, LLC
NPI 1619413044 · Physical Medicine & Rehabilitation Physician · Gillette, WY
Provider details
- NPI number
- 1619413044
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Linda Walby, Manager(307) 206-4990
- License
- 10678A (WY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3100 W Lakeway Rd
Suite 3
Gillette, WY 82718-6372
Phone: (307) 206-4990
Fax: (307) 363-4033
Approximate (ZIP-level) locationGet directions
Mailing address
3100 W Lakeway Rd
Gillette, WY 82718-6372
Registry dates
- Enumerated
- 2017-01-09
- Last updated
- 2017-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.