Organization
AVERA ST. MARY'S
Active
Other names
Avera Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTEL KREBS (PRESIDENT/CEO)
(605) 351-5916
Entity
Organization
Contact information
Practice address
1211 E WELLS AVE, PIERRE, SD 57501-3962
(605) 224-3100
Mailing address
PO BOX 5045, CBO PALM PLACE PROVENRLMT, SIOUX FALLS, SD 57117-5045
(650) 322-6428
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/13/2018
Last updated
05/17/2024
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