Kiersten Severino

Individual provider Occupational Therapy Assistant · NPI 1265316632

Kiersten Severino is an Occupational Therapy Assistant in Ellsworth AFB, South Dakota. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since: 2025

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Practice location Address checks out

987 Deadwood Loop
Ellsworth AFB, SD 57706-4204
Phone: (712) 331-1016

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary)	Taxonomy 224Z00000X

Record details

NPI number	1265316632
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	Yes
NPI enumerated	July 31, 2025
Last updated in NPPES	July 31, 2025
Certification date	July 31, 2025