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EVONDA WYATT
NPI 1558073122
Massage Therapist in Lithonia, GA

Active since December 15, 2022
1205 ARBOR CROSSING DR, LITHONIA, GA 30058(678) 478-9626 Get Directions Write a Review

NPPES record last updated: December 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evonda Wyatt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVONDA WYATT (NPI 1558073122) is an individual massage therapist in Lithonia, Georgia, licensed in Georgia (MT009446) and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1558073122
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameEVONDA WYATT
Location Address1205 ARBOR CROSSING DRLithonia, GA 30058-3814
Mailing Address1205 Arbor Crossing DrLithonia, GA 30058-3814 · (678) 478-9626
Phone(678) 478-9626
Sole ProprietorYes
Enumeration DateDecember 15, 2022
NPPES CertifiedDecember 15, 2022
✔ NPI 1558073122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in GA · MT009446
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.
1205 ARBOR CROSSING DR, Lithonia, GA 30058
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evonda Wyatt's NPI number?

The NPI number for Evonda Wyatt is 1558073122. It was assigned to this individual provider in the NPPES registry on December 15, 2022.

Where is Evonda Wyatt located?

Evonda Wyatt practices at 1205 Arbor Crossing Dr, Lithonia, GA 30058. The listed phone number is (678) 478-9626.

What is Evonda Wyatt's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Evonda Wyatt was last updated on December 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.