We have 13kFt of telephone line between the CO and our campus. There are two loading coils on many of those lines, and I've seen the tech use one of those Progressive loading coil detectors and tune it, and it shows two 'humps', indicating two coils. As far as I know, the loading coils are approximately every 6kFt, not 6km. Almost all the lines had them until they introduced DSL. But a few lines didn't have loading coils because they were being used for T1 and other such services.
It changes the freq response from (view with courier font)
| |* | * | * | * | * | * | *
0----------------------------To | |* * * * * | * | * | * | * | * | *
0----------------------------so that the midrange freqs where the intelligibility is contained are not attenuated as much. But the highs up around 3 to 4kHz may be attenuated.