Individual
PAMELA VACAOLIVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
905 FLAT SHOALS RD SE, CONYERS, GA 30094-5911
(678) 468-5793
(207) 613-2777
Mailing address
200 TRAVIS DR UNIT 1105, MCDONOUGH, GA 30252-2935
(678) 468-5793
(207) 613-2777
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT014014
GA
Other
Enumeration date
10/16/2024
Last updated
02/03/2026
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