Provider Demographics
NPI:1679365860
Name:LEE, ASHLEE M (OTR/L, CHT)
Entity type:Individual
Prefix:
First Name:ASHLEE
Middle Name:M
Last Name:LEE
Suffix:
Gender:F
Credentials:OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 3RD ST NE
Mailing Address - Street 2:
Mailing Address - City:MCINTOSH
Mailing Address - State:MN
Mailing Address - Zip Code:56556-5707
Mailing Address - Country:US
Mailing Address - Phone:218-230-8337
Mailing Address - Fax:
Practice Address - Street 1:903 HILLIGOSS BLVD SE
Practice Address - Street 2:
Practice Address - City:FOSSTON
Practice Address - State:MN
Practice Address - Zip Code:56542-1541
Practice Address - Country:US
Practice Address - Phone:218-435-1210
Practice Address - Fax:218-435-1175
Is Sole Proprietor?:No
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN202205053225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand