Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marisa Krisananuwatara

Individual provider Physical Therapy Assistant · NPI 1336622646

Marisa Krisananuwatara is a Physical Therapy Assistant in Austin, Texas. Licensed in Texas. Registered with an NPI since 2018.

Licensed in
TX
In the registry since
2018

Practice location Address checks out

12021 Metric Blvd
Austin, TX 78758-8616
Phone: (512) 228-3300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2113050 (TX)

Record details

NPI number1336622646
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 12, 2018
Last updated in NPPESSeptember 12, 2018

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