MEDICARE: REACH CHIROPRACTIC LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CHIR009540	GA

General Provider Information

NPI Number	:	1104295351
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REACH CHIROPRACTIC LLC

Provider Business Mailing Address
First Line	:	965 PIEDMONT RD NE STE 130
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30066-5493
Country	:	US
Telephone Number	:	678-981-5399
Fax Number	:	678-974-0398

Provider Business Practice Location Address
First Line	:	965 PIEDMONT RD NE STE 130
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30066-5493
Country	:	US
Telephone Number	:	678-981-5399
Fax Number	:	678-974-0398

Authorized Official
Title or Position	:	OWNER
Name	:	DR. LORENA ARAUJO JESUS
Credential	:	DC
Telephone Number	:	678-981-5399

Provider Enumeration Date	:	09/17/2015
Last Update Date	:	02/25/2026

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