MEDICARE: MRS. CATRINA MARIE FRANCIS CAP, RMT, SFC, IHP1

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171400000X	Health & Wellness Coach		WI

General Provider Information

NPI Number	:	1689470064
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CATRINA MARIE FRANCIS CAP, RMT, SFC, IHP1

Provider Business Mailing Address
First Line	:	4400 W CALUMET RD
Second Line	:
City	:	BROWN DEER
State	:	WI
Zip	:	53223-4422
Country	:	US
Telephone Number	:	414-477-1707
Fax Number	:

Provider Business Practice Location Address
First Line	:	6333 N GREEN BAY AVE STE D
Second Line	:
City	:	GLENDALE
State	:	WI
Zip	:	53209-3436
Country	:	US
Telephone Number	:	262-737-4570
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2025
Last Update Date	:	02/24/2025

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