Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anderson David Theodore, LMT

Individual provider Massage Therapist · NPI 1639031222

Anderson David Theodore, LMT is a Massage Therapist in Atlanta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2025
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

5412 Rock Lake Dr
Atlanta, GA 30349-8905
Phone: (678) 644-7357
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MT006637 (GA)

Record details

NPI number1639031222
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedDecember 2, 2025
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025
Mailing address5412 Rock Lake Dr, College Park, GA 30349-8905

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