AVERA MCKENNAN NPI 1629544473

NPI Information

  • NPI: 1629544473
  • Provider Name: AVERA MCKENNAN
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Organization
  • Address: 3400 S SOUTHEASTERN AVE
    SIOUX FALLS, SD
    ZIP 57103
  • Phone: (605) 322-5300

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NPI Details

AVERA MCKENNAN is a massage therapist in Sioux Falls, SD. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. AVERA MCKENNAN NPI is 1629544473. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3400 S SOUTHEASTERN AVE
SIOUX FALLS, SD
ZIP 57103-184
Phone: (605) 322-5300

The provider's authorized official is David William Flicek .
The authorized official title is President/ceo and has the following contact phone number (605) 322-7915.

The enumeration date for this NPI number is 10/19/2018 and was last updated on 10/19/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225100000XPhysical TherapistNo
2225700000XMassage TherapistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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