1. Home
  2. Directory
  3. Georgia
  4. Atlanta
  5. Massage Therapist
  6. NPI Profile

ANDERSON DAVID THEODORE LMT
NPI 1639031222
Massage Therapist in Atlanta, GA

Active since December 02, 2025
5412 ROCK LAKE DR, ATLANTA, GA 30349(678) 644-7357 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Anderson David Theodore Lmt NPPES

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

ANDERSON DAVID THEODORE LMT (NPI 1639031222) is an individual massage therapist in Atlanta, Georgia, licensed in Georgia (MT006637) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1639031222
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameANDERSON DAVID THEODORECredential: LMT
Location Address5412 ROCK LAKE DRAtlanta, GA 30349-8905
Mailing Address5412 Rock Lake DrCollege Park, GA 30349-8905 · (678) 644-7357
Phone(678) 644-7357
Sole ProprietorYes
Enumeration DateDecember 2, 2025
NPPES CertifiedDecember 2, 2025
✔ NPI 1639031222 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 · MT006637
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.
5412 ROCK LAKE DR, Atlanta, GA 30349
Open in Google Maps ↗

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 Anderson Theodore's NPI number?

The NPI number for Anderson Theodore is 1639031222. It was assigned to this individual provider in the NPPES registry on December 2, 2025.

Where is Anderson Theodore located?

Anderson Theodore practices at 5412 Rock Lake Dr, Atlanta, GA 30349. The listed phone number is (678) 644-7357.

What is Anderson Theodore'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 Anderson Theodore was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.