DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EVONDA WYATT

Active Sole Proprietor

EVONDA WYATT is a Massage Therapist healthcare provider located in LITHONIA, Georgia. NPI 1558073122 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · LITHONIA, GA

Registration Details

NPI Number
1558073122
Provider Type
Individual
Gender
Female
NPI Issued
Dec 15, 2022 (3.6224773273494 yrs)
Last Updated
Dec 15, 2022
License
MT009446 (GA)
Sole Proprietor
Yes

Practice Information

Address
1205 ARBOR CROSSING DR
LITHONIA, GA, 300583814
Browse GA providers · Browse ZIP 30058
Phone
6784789626
Primary Specialty
Massage Therapist
225700000X

Other Massage Therapist Providers in LITHONIA, GA

Name Credential NPI
SAFIYAH WALCOTT-FARRAKHAN NMT 1720230436
MANIOS LIBERAL 1043757362
TOSHIBA FORREST 1235620899
MONIQUE BRINSON LMT 1922601681
MS. CHRYSTAL HAMRICK 1295474427
ALLISON PRAD MASSAGE THERAPIST 1356061337
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.