Avera Mckennan

NPI #1629499132 in Sioux Falls, South Dakota

Provider Information

NPI Number: 1629499132
Entity Type: Organization
Organization Name: Avera Mckennan
Primary Specialty: Physical Therapist
Enumeration Date: Dec 31, 2013
Last Updated: Nov 13, 2024

Practice Location

Address: 6100 S LOUISE AVE STE 1275
City: Sioux Falls
State: South Dakota
ZIP Code: 57108-6029
Phone: (605) 322-8000

Authorized Official

Name: RONALD JOSEPH PLACE, MD
Title: PRESIDENT/CEO
Phone: (605) 322-7903

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Speech-Language Pathologist	235Z00000X
Durable Medical Equipment & Medical Supplies	332B00000X
Prosthetic/Orthotic Supplier	335E00000X
Physical Therapist	225100000X	Primary

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