# POELKING CHIROPRACTIC WELLNESS & PHYSICAL THERAPY, INC.

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

## Provider details

- **NPI number:** 1306068283
- **Authorized official:** DR. THEODORE J POELKING D.C. (PRESIDENT)
- **Authorized official phone:** (937) 299-2900

## Contact information

- **Practice address:** 2660 WOODMAN CENTER CT, DAYTON, OH 45420-1477
- **Practice address phone:** (937) 299-2900
- **Practice address fax:** (937) 299-9640
- **Mailing address:** 8648 CYPRESS TRL, WAYNESVILLE, OH 45068-8361
- **Mailing address phone:** (937) 885-6110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | 2199 | OH | Yes |

## Other

- **Enumeration date:** 05/02/2007
- **Last updated:** 08/22/2020