| Abby Brunski Tanner, | |
| 317 N Faler Avenue, Pinedale, WY 82941 | |
| (307) 367-6236 | |
| Not Available | 
| Full Name | Abby Brunski Tanner | 
|---|---|
| Gender | Female | 
| Speciality | Speech-language Pathologist | 
| Location | 317 N Faler Avenue, Pinedale, Wyoming | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1538849104 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 1285 (Wyoming) | Primary | 
| Provider Name | Elevation Therapy And Wellness Llc | 
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice | 
| Provider Identifiers | NPI Number: 1124888227 PECOS PAC ID: 1052853116 Enrollment ID: O20240605001116 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Abby Brunski Tanner, Po Box 862, Pinedale, WY 82941-0862 Ph: (307) 723-8118 | Abby Brunski Tanner, 317 N Faler Avenue, Pinedale, WY 82941 Ph: (307) 367-6236 | 
| Laura Tomasita Ramnarine, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 422 S. Jackson Ave, Pinedale, WY 82941 Phone: 307-749-3470 | |
| Jeanne Marie Raney, MA CCCSLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 317 N Faler Ave, Proactive Physical Therapy Pc, Pinedale, WY 82941 Phone: 307-367-6236 Fax: 307-367-3332 |