Integrated Therapy Services (ITS) began serving its customers in 1998. In 2014, ITS joined the Avera Health System family. ITS provides therapy services to numerous facilities within or up to 200 miles from Mitchell, South Dakota. Our customers include small rural hospitals, skilled nursing facilities, school districts, outpatient facilities, centers for adults with developmental disabilities, transitional care units, home-health patients, the birth-three population, and pediatrics. ITS staff have the opportunity to evaluate and treat a wide variety of patients/clients/students from diverse populations. We strive to provide the highest quality therapy services while creating strong partnerships with our rural facilities in order to maintain excellent healthcare services close to home.