Provider Demographics
NPI:1740482843
Name:TOEBES, KRISTINA C (DC)
Entity type:Individual
Prefix:
First Name:KRISTINA
Middle Name:C
Last Name:TOEBES
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 1:4285 FOND DU LAC DR
Mailing Address - Street 2:
Mailing Address - City:SLINGER
Mailing Address - State:WI
Mailing Address - Zip Code:53086-9762
Mailing Address - Country:US
Mailing Address - Phone:262-224-5999
Mailing Address - Fax:
Practice Address - Street 1:N88W16624 APPLETON AVE
Practice Address - Street 2:
Practice Address - City:MENOMONEE FALLS
Practice Address - State:WI
Practice Address - Zip Code:53051-2858
Practice Address - Country:US
Practice Address - Phone:262-253-4949
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3270111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor