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SELF ACTUALIZATION KINESIOLOGY
NPI 1760694483
Chiropractor in Atlanta, GA

Active since May 04, 2007
455 EAST PACES FERRY ROAD, 325, ATLANTA, GA 30305(404) 261-7504(404) 477-3291 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Self Actualization Kinesiology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SELF ACTUALIZATION KINESIOLOGY (NPI 1760694483) is a healthcare organization registered as a chiropractor in Atlanta, Georgia and active in the NPI registry since May 2007. The organization lists Edward Lindsey Frey, President, as its authorized official.

NPPES Registry Identity

NPI1760694483
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSELF ACTUALIZATION KINESIOLOGY
Location Address455 EAST PACES FERRY ROAD, 325Atlanta, GA 30305
Mailing Address455 East Paces Ferry Road, 325Atlanta, GA 30305 · (404) 261-7504 · Fax (404) 477-3291
Phone(404) 261-7504
Fax(404) 477-3291
Organization SubpartNo
Authorized OfficialEdward Lindsey FreyPresident · (404) 261-7504
Enumeration DateMay 4, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1760694483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in GA · 2831
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
455 EAST PACES FERRY ROAD, Atlanta, GA 30305
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EDWARD LINDSEY FREY DC
Chiropractor
455 EAST PACES FERRY ROAD, 325
ATLANTA, GA 30305
Fulton County (404) 261-7504

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Self Actualization Kinesiology's NPI number?

The NPI number for Self Actualization Kinesiology is 1760694483. It was assigned to this organization in the NPPES registry on May 4, 2007.

Where is Self Actualization Kinesiology located?

Self Actualization Kinesiology is located at 455 East Paces Ferry Road 325, Atlanta, GA 30305. The listed phone number is (404) 261-7504.

What is Self Actualization Kinesiology's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Self Actualization Kinesiology was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.