Individual provider · Type 1 NPI

Evonda Wyatt

Massage Therapist · Lithonia, GA

NPI number 1558073122 Active

Practice location

1205 Arbor Crossing Dr
Lithonia, GA 30058-3814

Call (678) 478-9626 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT009446 (GA)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1558073122

Evonda Wyatt's National Provider Identifier is 1558073122, issued on Dec 15, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lithonia, GA. The record was last updated on Dec 15, 2022.