# AVERA ST. MARY'S

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Avera Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972082683
- **Authorized official:** SHANTEL KREBS (PRESIDENT/CEO)
- **Authorized official phone:** (605) 351-5916

## Contact information

- **Practice address:** 1211 E WELLS AVE, PIERRE, SD 57501-3962
- **Practice address phone:** (605) 224-3100
- **Mailing address:** PO BOX 5045, CBO PALM PLACE PROVENRLMT, SIOUX FALLS, SD 57117-5045
- **Mailing address phone:** (650) 322-6428

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 08/13/2018
- **Last updated:** 05/17/2024