MEDICARE: HIGH DESERT WOUND SOLUTIONS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1053264598
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HIGH DESERT WOUND SOLUTIONS, LLC

Provider Business Mailing Address
First Line	:	195 FEATHER WAY
Second Line	:
City	:	EVANSTON
State	:	WY
Zip	:	82930-9352
Country	:	US
Telephone Number	:	307-679-4959
Fax Number	:	307-679-4959

Provider Business Practice Location Address
First Line	:	195 FEATHER WAY
Second Line	:
City	:	EVANSTON
State	:	WY
Zip	:	82930-9352
Country	:	US
Telephone Number	:	307-679-4959
Fax Number	:	307-679-4959

Authorized Official
Title or Position	:	MEMBER
Name	:	BRADY STOKES
Credential	:	PT
Telephone Number	:	307-679-4959

Provider Enumeration Date	:	02/16/2026
Last Update Date	:	04/06/2026

Similar Medicare Providers

1497945380 — BRENNA SCHAFFER
Practice Location Address:

195 FEATHER WAY STOP 1
EVANSTON, WY
82930-9352

Practice Phone: 307-789-0715
Practice Fax: 307-789-4774

1598955486 — LINFORD TAYLOR
Practice Location Address:

195 FEATHER WAY STOP 1
EVANSTON, WY
82930-9352

Practice Phone: 307-789-0715
Practice Fax: 307-789-4774

1235503459 — SOUTH LINCOLN HOSPITAL DISTRICT
Practice Location Address:

195 FEATHER WAY STE 100
EVANSTON, WY
82930-9352

Practice Phone: 307-200-9200
Practice Fax: 307-200-4808

1215452958 — DR. JACQUELINE HAYDUK PT, DPT
Practice Location Address:

195 FEATHER WAY
EVANSTON, WY
82930-9352

Practice Phone: 307-789-0096
Practice Fax:

1346745205 — TAMARA SUE BACH FNP-BC
Practice Location Address:

195 FEATHER WAY STE 100
EVANSTON, WY
82930-9352

Practice Phone: 307-200-9200
Practice Fax: 307-200-4808

1023502408 — DAVIDSON CHIROPRACTIC CLINIC - EVANSTON LLC
Practice Location Address:

195 FEATHER WAY STE A
EVANSTON, WY
82930-9352

Practice Phone: 307-382-0600
Practice Fax: 307-382-0601

Directions to “HIGH DESERT WOUND SOLUTIONS, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.