Individual
TERESA MARIE MANTHIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 W 64TH ST, MINNEAPOLIS, MN 55423-1001
(952) 767-5904
Mailing address
2400 W 64TH ST, MINNEAPOLIS, MN 55423-1001
(952) 767-5904
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9881
MN
Other
Enumeration date
11/30/2020
Last updated
07/18/2025
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