| Doctor Name: | MRS. KATHERINE MICHELLE MCMANUS |
| NPI Number: | 1780712091 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA,CCC-SLP |
| License Number: | 7861 |
| Business Practice Address: | 6940 Innsdale Ave S Cottage Grove, MN - 550161295 |
| Business Phone Number: | 6517689161 |
| Business Fax Number: | 6517692183 |
| Mailing Address: | 6940 Innsdale Ave S, COTTAGE GROVE |
| State: | MN |
| Postal Code: | 550161295 |
| Phone Number: | 6517689161 |
| Fax Number: | 6517692183 |
| NPI Enumeration Date: | 02/28/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 7861 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |