Individual
VANESSA ISAAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6121 CREEKFORD DR, LITHONIA, GA 30058-7962
(470) 462-7543
Mailing address
6121 CREEKFORD DR, LITHONIA, GA 30058-7962
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT006736
GA
Other
Enumeration date
09/05/2025
Last updated
09/17/2025
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