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

Michael Ananta Rosidivito, LMT

Individual provider Massage Therapist · NPI 1114661402

Michael Ananta Rosidivito, LMT is a Massage Therapist in Smyrna, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2022
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2200 Atlanta Rd SE Apt I3
Smyrna, GA 30080-1538
Phone: (609) 314-1254
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MT011960 (GA)

Record details

NPI number1114661402
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedApril 24, 2022
Last updated in NPPESApril 24, 2022
Certification dateApril 24, 2022

Other providers in Smyrna