NPI 1629544473

Avera McKennan

Organisation Massage Therapist Sioux Falls, SD

Practice location

Address: 3400 S Southeastern Ave, Sioux Falls, SD 57103-7184
Phone: (605) 322-5300

Authorised official

Name: David William Flicek
Title: President/Ceo
Phone: (605) 322-7915

Registered specialties (2)

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X

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Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X

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Registry record

NPI: 1629544473
Entity type: Organization
NPI issued: 19 Oct 2018
Record last updated: 19 Oct 2018

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.