Healthcare Provider Details

I. General information

NPI: 1174405906
Provider Name (Legal Business Name): HEALTH QUEST CHIROPRACTIC & PHYSICAL THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2025
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8007 CORPORATE DR STE F
NOTTINGHAM MD
21236-4905
US

IV. Provider business mailing address

7920 MCDONOGH RD STE 101
OWINGS MILLS MD
21117-5249
US

V. Phone/Fax

Practice location:
  • Phone: 410-657-5770
  • Fax: 410-657-8950
Mailing address:
  • Phone: 410-356-9939
  • Fax: 410-356-3087

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: PAUL ETTLINGER
Title or Position: OWNER
Credential:
Phone: 443-253-9837