Healthcare Provider Details

I. General information

NPI: 1104295351
Provider Name (Legal Business Name): REACH CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2015
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

965 PIEDMONT RD NE STE 130
MARIETTA GA
30066-5493
US

IV. Provider business mailing address

965 PIEDMONT RD NE STE 130
MARIETTA GA
30066-5493
US

V. Phone/Fax

Practice location:
  • Phone: 678-981-5399
  • Fax: 678-974-0398
Mailing address:
  • Phone: 678-981-5399
  • Fax: 678-974-0398

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHIR009540
License Number StateGA

VIII. Authorized Official

Name: DR. LORENA ARAUJO JESUS
Title or Position: OWNER
Credential: DC
Phone: 678-981-5399