Provider Demographics
NPI:1922787076
Name:EASTON, CASSANDRA (CPT, CHC NUTRITIONIS)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:
Last Name:EASTON
Suffix:
Gender:F
Credentials:CPT, CHC NUTRITIONIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:618 THORNTON RD STE 3-203
Mailing Address - Street 2:
Mailing Address - City:LITHIA SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30122-1518
Mailing Address - Country:US
Mailing Address - Phone:844-206-0792
Mailing Address - Fax:
Practice Address - Street 1:1770 THE EXCHANGE SE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-2038
Practice Address - Country:US
Practice Address - Phone:844-206-0792
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach