Healthcare Provider Details

I. General information

NPI: 1679785331
Provider Name (Legal Business Name): SCOTT THOMAS FECHTER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 01/30/2026
Certification Date: 01/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

727 SAINT JOHNS AVE
PALATKA FL
32177-4645
US

IV. Provider business mailing address

2550 US 1 S
ST AUGUSTINE FL
32086-6194
US

V. Phone/Fax

Practice location:
  • Phone: 386-328-4043
  • Fax: 904-823-9394
Mailing address:
  • Phone: 904-823-8833
  • Fax: 904-823-9394

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH8582
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: