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

Thaddeus Keklak, DC

Individual provider Chiropractor · NPI 1962061671

Thaddeus Keklak, DC is a Chiropractic in Bristol, Tennessee. Graduated from New York Chiropractic College in 2017, 9 years ago. Accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
9
Trained at
New York Chiropractic College
Licensed in
PA
In the registry since
2019
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

911 Anderson St
Bristol, TN 37620-2105
Phone: (423) 764-2663
Fax: (423) 793-1100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence DC011478 (PA)

Record details

NPI number1962061671
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedJune 7, 2019
Last updated in NPPESMay 16, 2024
Certification dateMay 16, 2024
Mailing address911 Anderson St, Bristol, TN 37620-2105

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolNEW YORK CHIROPRACTIC COLLEGE
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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