Individual provider · Type 1 NPI
Bethany Nicole Kristiansen, LMT, CMLDT
Massage Therapist · Austin, TX
NPI number
1912825282
Active
Practice location
248 Addie Roy Rd Ste B203
Austin, TX 78746-4133
Mailing address
7005 Via Correto Dr
Austin, TX 78749-2759
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT141821 (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 1912825282
Bethany Nicole Kristiansen, LMT, CMLDT's National Provider Identifier is 1912825282, issued on Jul 6, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Austin, TX. The record was last updated on Jul 6, 2026.