Organization
AVERA MCKENNAN
Active
Other names
Avera McKennan Outpatient Therapy East
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE N NORTON (SVP/CFO)
(605) 322-7818
Entity
Organization
Contact information
Practice address
1035 SOUTH HIGHLINE PL, STE #4, SIOUX FALLS, SD 57110
(605) 322-2959
(605) 322-2926
Mailing address
PO BOX 5045, ATTN: PT FINANCIAL SERVICES PROV ENROLLMENT, SIOUX FALLS, SD 57117-5045
(605) 322-6400
(605) 322-6499
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
10563
SD
Other
Enumeration date
05/17/2012
Last updated
05/17/2012
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