Kathryn Daane, LMT

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

17231-146 Issued in WI

Practice address

4000 Enterprise Dr
Sheboygan, WI 53083-2245

Phone

(920) 459-9090

Fax

(920) 459-7426

NPI assigned

Aug 14, 2023

Last updated

Aug 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kathryn Sobotta Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Creekside Chiropractic and Rehabilitation, LTD.

  • Chiropractor
  • Sheboygan, WI
  • NPI 1801076872
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1700669934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 ENTERPRISE DR",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530832245",
            "telephone_number": "920-459-9090",
            "fax_number": "920-459-7426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 ENTERPRISE DR",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530832245",
            "telephone_number": "920-459-9090",
            "fax_number": "920-459-7426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAANE",
        "first_name": "KATHRYN",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "17231-146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "SOBOTTA",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• CSM Community Physicians (CSMCP Cardiac Rhythm Specialist)
• Amy Culver
• Susan Lynn Currie Jensema, SLP
• Cynthia F Daane, MSW
• John Anthony Daane, LCSW
• Emilee Daehnert, COTA
• Lisa A Dailey, RNC, NNP-BC, APNP
• Angelique Dambruch, LPC
• Tanya Marie Damrow, MA SAC LPC
• Julia Zhao Dandrow

• Chiropractor in Sheboygan, WI
• Providers in Sheboygan, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.