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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIERSTEN SEVERINO

Active Sole Proprietor

KIERSTEN SEVERINO is a Occupational Therapy Assistant healthcare provider located in ELLSWORTH AFB, South Dakota. NPI 1265316632 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · ELLSWORTH AFB, SD

Registration Details

NPI Number
1265316632
Provider Type
Individual
Gender
Female
NPI Issued
Jul 31, 2025 (1.0658005028346 yrs)
Last Updated
Jul 31, 2025
Sole Proprietor
Yes

Practice Information

Address
987 DEADWOOD LOOP
ELLSWORTH AFB, SD, 577064204
Browse SD providers · Browse ZIP 57706
Phone
7123311016
Primary Specialty
Occupational Therapy Assistant
224Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.