| NPI | 1306068283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE J POELKING President 937-299-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation (Licence: OH 2199) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |