| NPI | 1629544473 |
|---|---|
| Doing Business As | AVERA MCKENNAN FITNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | DAVID WILLIAM FLICEK President/CEO 605-322-7915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2018-10-19 |