Individual provider · Type 1 NPI

Pamela Vacaolivo, LMT

Massage Therapist · Conyers, GA

NPI number 1699595256 Active

Practice location

905 Flat Shoals Rd SE
Conyers, GA 30094-5911

Call (678) 468-5793 Map

Fax (207) 613-2777

Mailing address

200 Travis Dr Unit 1105
Mcdonough, GA 30252-2935

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT014014 (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 1699595256

Pamela Vacaolivo, LMT's National Provider Identifier is 1699595256, issued on Oct 16, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Conyers, GA. The record was last updated on Feb 3, 2026.