Avera McKennan
NPI 1629544473ActiveOrganization· Massage Therapist· Sioux Falls, SD
Massage Therapist in Sioux Falls, South Dakota, registered in NPPES in October 2018. The authorized official on file is David William Flicek, President/Ceo.
Overview
| NPI | 1629544473 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 19, 2018 |
| Last updated in NPPES | Oct 19, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Massage Therapist Primary | 225700000X | — | — |
| Physical Therapist | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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