NPI 1093759177

Avera St. Luke's

Organisation Physical Medicine & Rehabilitation Physician Aberdeen, SD

Practice location

Address: 201 S Lloyd St Suite E202, Aberdeen, SD 57401-4552
Phone: (605) 622-2898
Fax: (605) 622-2897
Mailing address: PO Box 1460, Aberdeen, SD 57402-1460

Authorised official

Name: Tess Moeller
Title: Vp
Phone: (605) 622-2807

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 10525 (SD)

Other Physical Medicine & Rehabilitation providers in South Dakota →

Registry record

NPI: 1093759177
Entity type: Organization
NPI issued: 16 Jun 2006
Record last updated: 15 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.