Healthcare Provider Details

I. General information

NPI: 1346391331
Provider Name (Legal Business Name): ADAM KEITH RECHTMAN D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/16/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5251 PEACHTREE INDUSTRIAL BLVD
CHAMBLEE GA
30341-2626
US

IV. Provider business mailing address

PO BOX 49188
ATLANTA GA
30359-1188
US

V. Phone/Fax

Practice location:
  • Phone: 404-320-6504
  • Fax: 404-320-6073
Mailing address:
  • Phone: 404-320-6504
  • Fax: 404-320-6073

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHIRO005723
License Number StateGA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: