Individual
KRISTIE LYNN WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1705 S CAPITAL OF TEXAS HWY STE 130, AUSTIN, TX 78746-6587
(512) 825-8852
Mailing address
1705 S CAPITAL OF TEXAS HWY STE 130, AUSTIN, TX 78746-6587
(512) 825-8852
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT029178
TX
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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