HERMAN ANDERSON LMT NPI 1104663541

NPI Information

  • NPI: 1104663541
  • Provider Name: HERMAN ANDERSON, LMT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 1205 JOHNSON FERRY RD STE 126
    MARIETTA, GA
    ZIP 30068
  • Phone: (678) 213-2368

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NPI Details

Herman Anderson, LMT is a massage therapist in Marietta, GA. The provider is 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. Herman Anderson, LMT NPI is 1104663541. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1205 JOHNSON FERRY RD STE 126
MARIETTA, GA
ZIP 30068-401
Phone: (678) 213-2368

The enumeration date for this NPI number is 7/12/2024 and was last updated on 7/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage TherapistMT013780GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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