Organization
AVERA MCKENNAN
Active
Other names
Avera McKennan Fitness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WILLIAM FLICEK (PRESIDENT/CEO)
(605) 322-7915
Entity
Organization
Contact information
Practice address
3400 S SOUTHEASTERN AVE, SIOUX FALLS, SD 57103-7184
(605) 322-5300
Mailing address
3400 S SOUTHEASTERN AVE, SIOUX FALLS, SD 57103-7184
(605) 322-5300
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
10/19/2018
Last updated
10/19/2018
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