Provider Demographics
NPI:1659519106
Name:AUGE, HEIDI LEE (PT)
Entity Type:Individual
Prefix:MRS
First Name:HEIDI
Middle Name:LEE
Last Name:AUGE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:916 SUPERIOR DR
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:55057-3232
Mailing Address - Country:US
Mailing Address - Phone:507-664-8841
Mailing Address - Fax:
Practice Address - Street 1:805 FOREST AVENUE
Practice Address - Street 2:THREE LINKS CARE CENTER-THERAPY
Practice Address - City:NORTHFIELD
Practice Address - State:MN
Practice Address - Zip Code:55057
Practice Address - Country:US
Practice Address - Phone:507-664-8841
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-21
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4657225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist