AVERA MCKENNAN NPI 1629544473

NPI Information

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:

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