Individual provider · Type 1 NPI
Herman Anderson, LMT
Massage Therapist · Marietta, GA
NPI number
1104663541
Active
Practice location
1205 Johnson Ferry Rd Ste 126
Marietta, GA 30068-5401
Mailing address
3669 Peachtree Rd NE Apt 3B
Atlanta, GA 30319-1251
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT013780 (GA) |
Massage Therapist: 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.
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About NPI 1104663541
Herman Anderson, LMT's National Provider Identifier is 1104663541, issued on Jul 12, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Marietta, GA. The record was last updated on Jul 12, 2024.