Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Powder River Physical Medicine & Rehabilitation, LLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1619413044

Powder River Physical Medicine & Rehabilitation, LLC is a Physical Medicine & Rehabilitation Physician in Gillette, Wyoming. Licensed in Wyoming. Registered with an NPI since 2017.

Licensed in
WY
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3100 W Lakeway Rd Ste 3
Gillette, WY 82718-6372
Phone: (307) 206-4990
Fax: (307) 363-4033
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 10678A (WY)

Record details

NPI number1619413044
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Linda Walby — Manager · (307) 206-4990
NPI enumeratedJanuary 9, 2017
Last updated in NPPESJanuary 9, 2017
Mailing address3100 W Lakeway Rd, Suite 3, Gillette, WY 82718-6372

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