Provider Demographics
NPI:1962659474
Name:MCMANUS, CECILE MARIE (RD)
Entity type:Individual
Prefix:MS
First Name:CECILE
Middle Name:MARIE
Last Name:MCMANUS
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10920 SMOKEY MOUNTAIN TRL
Mailing Address - Street 2:
Mailing Address - City:BLUE MOUNDS
Mailing Address - State:WI
Mailing Address - Zip Code:53517-9668
Mailing Address - Country:US
Mailing Address - Phone:608-437-6278
Mailing Address - Fax:608-437-6279
Practice Address - Street 1:10920 SMOKEY MOUNTAIN TRL
Practice Address - Street 2:
Practice Address - City:BLUE MOUNDS
Practice Address - State:WI
Practice Address - Zip Code:53517-9668
Practice Address - Country:US
Practice Address - Phone:608-437-6278
Practice Address - Fax:608-437-6279
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-26
Last Update Date:2008-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2036-029 (CD)133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered