| NPI | 1972082683 |
|---|---|
| Doing Business As | AVERA THERAPY |
| Entity Type | Organization |
| Authorized Contact | MIKEL HOLLAND President/CEO 605-224-3144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2022-07-15 |