Provider Demographics
NPI:1346391331
Name:RECHTMAN, ADAM KEITH (DC)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:KEITH
Last Name:RECHTMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 49188
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30359-1188
Mailing Address - Country:US
Mailing Address - Phone:404-320-6504
Mailing Address - Fax:404-320-6073
Practice Address - Street 1:5251 PEACHTREE INDUSTRIAL BLVD
Practice Address - Street 2:
Practice Address - City:CHAMBLEE
Practice Address - State:GA
Practice Address - Zip Code:30341-2626
Practice Address - Country:US
Practice Address - Phone:404-320-6504
Practice Address - Fax:404-320-6073
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO005723111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor