AVERA MCKENNAN
NPI 1629544473
Massage Therapist in Sioux Falls, SD

Active since October 19, 2018
3400 S SOUTHEASTERN AVE, SIOUX FALLS, SD 57103(605) 322-5300 Get Directions Write a Review

NPPES record last updated: October 19, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Avera Mckennan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVERA MCKENNAN (NPI 1629544473), doing business as Avera Mckennan Fitness Center, is a healthcare organization registered as a massage therapist in Sioux Falls, South Dakota and active in the NPI registry since October 2018. The organization lists David William Flicek, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1629544473
Entity TypeOrganization
Primary Taxonomy225700000X
Legal Business NameAVERA MCKENNAN
Location Address3400 S SOUTHEASTERN AVESioux Falls, SD 57103-7184
Mailing Address3400 S Southeastern AveSioux Falls, SD 57103-7184 · (605) 322-5300
Organization SubpartNo
Authorized OfficialDavid William FlicekPresident/ceo · (605) 322-7915
Enumeration DateOctober 19, 2018
NPI 1629544473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Also ListedPhysical TherapistTaxonomy 225100000X
3400 S SOUTHEASTERN AVE, Sioux Falls, SD 57103

Other Names 1

Doing Business AsAvera Mckennan Fitness Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
3400 S SOUTHEASTERN AVE
SIOUX FALLS, SD 57103
Massage Therapist
3400 S SOUTHEASTERN AVE
SIOUX FALLS, SD 57103
Physical Therapist
3400 S SOUTHEASTERN AVE
SIOUX FALLS, SD 57103
Physical Therapist
3400 S SOUTHEASTERN AVE
SIOUX FALLS, SD 57103
Family Medicine
3400 S SOUTHEASTERN AVE
SIOUX FALLS, SD 57103
Massage Therapist
3400 S SOUTHEASTERN AVE
SIOUX FALLS, SD 57103
Physical Therapist (Sports)
3400 S SOUTHEASTERN AVE
SIOUX FALLS, SD 57103
Family Medicine
3400 S SOUTHEASTERN AVE
SIOUX FALLS, SD 57103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avera Mckennan's NPI number?

The NPI number for Avera Mckennan is 1629544473. It was assigned to this organization in the NPPES registry on October 19, 2018. The provider is doing business as Avera McKennan Fitness Center.

Where is Avera Mckennan located?

Avera Mckennan is located at 3400 S Southeastern Ave, Sioux Falls, SD 57103. The listed phone number is (605) 322-5300.

What is Avera Mckennan's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Avera Mckennan was last updated on October 19, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.