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Evonda Wyatt
Massage Therapist in Lithonia, Georgia
NPI 1558073122

Evonda Wyatt is a Massage Therapist based in Lithonia, GA. Evonda Wyatt practices in Lithonia, GA. The NPI Number for Evonda Wyatt is 1558073122 and holds a License No. MT009446 (Georgia).

The current practice location address for Evonda Wyatt is 1205 Arbor Crossing Dr, Lithonia, GA and can be reached out via phone at 678-478-9626.

Location: 1205 Arbor Crossing Dr, Lithonia, GA, 30058-3814
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558073122
Provider Name
Evonda Wyatt
Credential
Provider Entity Type
Individual
Gender
Female
Address
1205 Arbor Crossing Dr, Lithonia, GA, 30058-3814
Phone Number
678-478-9626
Fax Number
Provider Enumeration Date
12/15/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1205 Arbor Crossing Dr
City
Lithonia
State
Georgia
Zip
30058-3814
Phone Number
678-478-9626
Fax Number
person
Provider Business Mailing Address Details
Address
1205 Arbor Crossing Dr
City
Lithonia
State
Georgia
Zip
30058-3814
Phone Number
678-478-9626
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MT009446 (Georgia)
Definition
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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