Provider Demographics
NPI:1033455258
Name:AUNE, CHARLENE (NCTM)
Entity Type:Individual
Prefix:
First Name:CHARLENE
Middle Name:
Last Name:AUNE
Suffix:
Gender:F
Credentials:NCTM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8280 KENNEDY CT
Mailing Address - Street 2:
Mailing Address - City:SAINT BONIFACIUS
Mailing Address - State:MN
Mailing Address - Zip Code:55375-1207
Mailing Address - Country:US
Mailing Address - Phone:612-986-2823
Mailing Address - Fax:
Practice Address - Street 1:8280 KENNEDY CT
Practice Address - Street 2:
Practice Address - City:SAINT BONIFACIUS
Practice Address - State:MN
Practice Address - Zip Code:55375-1207
Practice Address - Country:US
Practice Address - Phone:612-986-2823
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-14
Last Update Date:2012-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist