# ST. E CHIROPRACTIC AND REHAB, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275987646
- **Authorized official:** DR. ROBERT GRANT GOODWIN D.C. (CLINICAL DIRECTOR)
- **Authorized official phone:** (937) 974-8879

## Contact information

- **Practice address:** 1 ELIZABETH PL, SUITE 280, DAYTON, OH 45417-3445
- **Practice address phone:** (937) 974-8879
- **Practice address fax:** (937) 660-4066
- **Mailing address:** 1 ELIZABETH PL, SUITE 280, DAYTON, OH 45417-3445
- **Mailing address phone:** (937) 974-8879
- **Mailing address fax:** (937) 660-4066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | OH | Yes |

## Other

- **Enumeration date:** 04/21/2016
- **Last updated:** 12/22/2016