Provider Demographics
NPI:1033093349
Name:GARTRELL, ALEXIUS R (DC)
Entity type:Individual
Prefix:
First Name:ALEXIUS
Middle Name:R
Last Name:GARTRELL
Suffix:
Gender:F
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 7503
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30065-1503
Mailing Address - Country:US
Mailing Address - Phone:706-401-6093
Mailing Address - Fax:
Practice Address - Street 1:5755 N POINT PKWY STE 240
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-1173
Practice Address - Country:US
Practice Address - Phone:678-691-3221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR066525111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor