Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Self Actualization Kinesiology

Organization Chiropractor · NPI 1760694483

Self Actualization Kinesiology is a Chiropractor in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007

Practice location Address checks out

455 E Paces Ferry Road 325
Atlanta, GA 30305
Phone: (404) 261-7504
Fax: (404) 477-3291
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 2831 (GA)

Record details

NPI number1760694483
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edward Frey — President · (404) 261-7504
NPI enumeratedMay 4, 2007
Last updated in NPPESAugust 22, 2020
Mailing address455 East Paces Ferry Road, 325, Atlanta, GA 30305

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