Provider Demographics
NPI:1447746730
Name:COLTON, KATRINE KOERTING (DC)
Entity Type:Individual
Prefix:
First Name:KATRINE
Middle Name:KOERTING
Last Name:COLTON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2056 WHITE PINE LN
Mailing Address - Street 2:
Mailing Address - City:SHEBOYGAN
Mailing Address - State:WI
Mailing Address - Zip Code:53083-2162
Mailing Address - Country:US
Mailing Address - Phone:608-286-0020
Mailing Address - Fax:
Practice Address - Street 1:3411B LAKESHORE RD
Practice Address - Street 2:
Practice Address - City:SHEBOYGAN
Practice Address - State:WI
Practice Address - Zip Code:53083-2902
Practice Address - Country:US
Practice Address - Phone:920-458-8886
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-10
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5372111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor