Organization
POELKING CHIROPRACTIC WELLNESS & PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE J POELKING D.C. (PRESIDENT)
(937) 299-2900
Entity
Organization
Contact information
Practice address
2660 WOODMAN CENTER CT, DAYTON, OH 45420-1477
(937) 299-2900
(937) 299-9640
Mailing address
8648 CYPRESS TRL, WAYNESVILLE, OH 45068-8361
(937) 885-6110
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
2199
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0128301
—
OH
01
—
NPI
INDIVIDUAL
OH
Enumeration date
05/02/2007
Last updated
08/22/2020
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