IndividualActive
Deandrea Thornton, CSCS
NPI 1255194932 · Health & Wellness Coach · Tyrone, GA
Provider details
- NPI number
- 1255194932
- Entity type
- Individual
- Primary specialty
- Health & Wellness CoachOther Service Providers
- Credential
- CSCS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 7248208737 (GA)
Specialties & taxonomies
Other Service Providers
Practice location
1525 Senoia Rd Ste D
Tyrone, GA 30290-3602
Phone: (770) 861-4321
Approximate (ZIP-level) locationGet directions
Mailing address
5735 Union Pointe Dr
Union City, GA 30291-1648
Registry dates
- Enumerated
- 2024-02-05
- Last updated
- 2024-02-05
- Certified
- 2024-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.