OrganizationActive
Avera St. Luke'S
NPI 1093759177 · Physical Medicine & Rehabilitation Physician · Aberdeen, SD
Provider details
- NPI number
- 1093759177
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tess Moeller, Vp(605) 622-2807
- License
- 10525 (SD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
201 S Lloyd St
Suite E202
Aberdeen, SD 57401-4552
Phone: (605) 622-2898
Fax: (605) 622-2897
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1460
Aberdeen, SD 57402-1460
Other names (DBA / former)
- Doing business as
- Avera Medical Group Physical Medicine Aberdeen
- Doing business as
- Avera Medical Group Physical Medicine Aberdeen
Registry dates
- Enumerated
- 2006-06-16
- Last updated
- 2022-07-15
- Certified
- 2022-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.