Healthcare Provider Details

I. General information

NPI: 1902551591
Provider Name (Legal Business Name): YEAR ONE WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2022
Last Update Date: 07/24/2022
Certification Date: 07/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5900 BALCONES DR STE 100
AUSTIN TX
78731-4298
US

IV. Provider business mailing address

PO BOX 170658
AUSTIN TX
78717-0032
US

V. Phone/Fax

Practice location:
  • Phone: 512-348-6457
  • Fax: 512-886-3120
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KRISTI HAMMERLE
Title or Position: OWNER, PHYSICAL THERAPIST
Credential: PT, DPT
Phone: 512-348-6457