We manipulate correlations between Rydberg excitations in cold atom samples using a rotary-echo technique in which the phase of the excitation pulse is flipped at a selected time during the pulse. The correlations are due to interactions between the Rydberg atoms. We measure the resulting change in the spatial pair correlation function of the excitations via direct position-sensitive atom imaging. For zero detuning of the lasers from the interaction-free Rydberg-excitation resonance, the pair-correlation value at the most likely nearest-neighbor Rydberg-atom distance is substantially enhanced when the phase is flipped at the middle of the excitation pulse. In this case, the rotary echo eliminates most uncorrelated (unpaired) atoms, leaving an abundance of correlated atom pairs at the end of the sequence. In off-resonant cases, a complementary behavior is observed. We further characterize the effect of the rotary-echo excitation sequence on the excitation-number statistics.