# W. RICHARD TEETERS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** W. RICHARD TEETERS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1023295482
- **Legal business name:** W. RICHARD TEETERS
- **Authorized official:** RICHARD TEETERS D.C. (OWNER CHIROPRACTOR)
- **Authorized official phone:** (937) 252-4400

## Contact information

- **Practice address:** 1353 WOODMAN DR, DAYTON, OH 45432-3425
- **Practice address phone:** (937) 252-4400
- **Practice address fax:** (937) 252-4402
- **Mailing address:** 1353 WOODMAN DR, DAYTON, OH 45432-3425
- **Mailing address phone:** (937) 252-4400
- **Mailing address fax:** (937) 252-4402

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 754 | OH | Yes |

## Other

- **Enumeration date:** 01/29/2008
- **Last updated:** 06/24/2011
