Individual provider · Type 1 NPI

Kimett Riddle

Massage Therapist · Austin, TX

NPI number 1528854064 Active

Practice location

6618 Sitio Del Rio Blvd Ste D103
Austin, TX 78730-1148

Call (610) 703-8105 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000XNone listed
Massage Therapist Primary 225700000XMT126546 (TX)

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 1528854064

Kimett Riddle's National Provider Identifier is 1528854064, issued on Apr 18, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Austin, TX. The record was last updated on Apr 18, 2025.