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

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT141821 (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.