Individual provider · NPI-1

Vanessa Isaac

Massage Therapist · Lithonia, GA

NPI number1033099403
StatusActive
Last updated in NPPESSep 17, 2025

Details

NPI
1033099403
Entity type
Individual (NPI-1)
Name
Vanessa Isaac
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 5, 2025
Certification date
Sep 17, 2025
Last updated
Sep 17, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage TherapistMT006736GAYes

Practice location

6121 Creekford Dr
Lithonia, GA 30058-7962

Phone 470-462-7543

Mailing address

6121 Creekford Dr
Lithonia, GA 30058-7962

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