By Julie K. O'Leary, L.Ac., LMT Gillespie County

01 — Wine country’s two-appointment problem

Fredericksburg’s Best Massage & Acupuncture, Ranked (2026)

Wine-weekend Fredericksburg supports eighteen massage and spa businesses and exactly two confirmed licensed acupuncturists — and we found no place where the two meet. Here’s the 2026 ranking, plus the honest answer for anyone who wants both.

Best massage Fredericksburg TXAcupuncture Fredericksburg TXCouples massage FredericksburgFredericksburg day spaFredericksburg massage prices
02 — The Fredericksburg Market

Eighteen spas, two acupuncturists, and no address where the two meet

Fredericksburg has about 11,000 residents and eighteen massage and day-spa businesses verified in or immediately serving the town — a ratio no other market in this series comes close to, and one that has almost nothing to do with the resident population. Seventy-five-plus wineries and tasting rooms along the US-290 corridor, a German-heritage Main Street of bed-and-breakfasts, and three hotel spas built for guests are what fill those tables. It shows in the product mix: couples massage is advertised or asked about at very nearly every business we looked at, which is not true of anywhere else we researched.

The massage side sorts into three clean tiers. At the top, hotel and resort spas: The Spa at The Albert Hotel, The Spa at the Inn on Barons Creek, and the garden-cottage spa at Hoffman Haus. In the middle, independent day spas — European Day Spa, FredSpa, Acacia, 143 Spa, Serenity, Above and Beyond, and the destination-scale Hill Country Herb Garden — in a confirmed $99–$180 band for 60 to 90 minutes wherever anyone publishes a figure. At the bottom of the price ladder and the top of the clinical one sit solo therapists: Fredericksburg Massage, Integrated Bodyworks, Progressive Muscular Therapy, Margaret Kaderli’s Ashiatsu practice, Robbyn Dodd, and Hill Country Mobile Massage, at confirmed rates from $60 to $150. The catch is how few of those numbers exist at all: only two of roughly fourteen independent spas had a rate we could confirm. Pricing opacity here is a market characteristic, not just a gap in our research.

The acupuncture side is a different market that happens to share a zip code. Two independent Texas-licensed acupuncturists practise in town — Kimberly Kraus, L.Ac., at Rising Sun Acupuncture on East Trailmoor Drive, and Natalie Knight, L.Ac., at Fredericksburg Acupuncture on Heritage Hills Drive. Neither offers massage. Neither publishes a session rate we could read. A third practice, Dickerson Chiropractic and Acupuncture, advertises acupuncture under a chiropractic licence rather than an L.Ac., which is a different credential and a contested one in Texas. And that is the whole bench. Against eighteen massage businesses, we found no business in Fredericksburg offering both modalities — a town-level finding, since we did not survey the rest of Gillespie County. Three spas (143 Spa, Serenity Day Spa and Hill Country Herb Garden) never mention acupuncture in either direction in any source we read, so we record them as unlisted rather than confirmed absent.

Two absences and three verification quirks round out the picture. No national massage or spa chain was found operating anywhere in Gillespie County — every provider here is independently owned, which is unusual for a town with this much tourism. Above and Beyond Day Spa, a 2003-vintage spa that still shows recent review activity, has a long-standing primary domain that now redirects to an unrelated bagel shop’s website; use the phone number, not the old URL. Better Existence Sweet Transformation Massage, a thirty-year fixture, may have closed or may have rebranded to a new name at a new address — public sources contradict each other, so call before visiting. Several directories still list Fredericksburg Acupuncture at the same East Main Street address as the unrelated Fredericksburg Massage practice; her own site says Heritage Hills Drive. And a run of same-name businesses in the search results — a Hand & Stone, a Massage Therapy of Fredericksburg, a Sageworks — are in Fredericksburg, Virginia.

Who is buying, and when: wine tourism peaks in April for bluebonnet season and again through the October–November harvest, with a third rise around the Christmas Marktplatz weeks, and several spas explicitly reference needing advance booking at those points. Enchanted Rock, eighteen miles north, feeds a steady recovery-work demand that the deep-tissue and sports-massage menus answer. Underneath the visitors sit retirees, ranching families and a growing remote-worker population, and their weekday demand — sciatica, migraine, chronic pain — is what keeps the solo clinical practices marketing to locals rather than to weekenders. The Albert Hotel’s 20%-off-Monday-to-Thursday locals rate is the only pricing structure in town we found built for that second audience.

18massage and day-spa businesses verified in or immediately serving Fredericksburg — for a town of roughly 11,000 people
0businesses found in town pairing licensed massage with acupuncture — 18 spas, 2 confirmed L.Ac. clinics, no overlap (a town-level finding; we did not survey Gillespie County beyond it)
0national massage or spa chains found operating in Gillespie County — every provider in this guide is independently owned
$99–$185the published 60-minute rate at the longest-running independent day spa, up to the roughly $185 a guest reported paying at the new hotel spa (a single published review; session length not stated)
03 — Our Method

How we built this list

Which tier you are actually booking
Four different products trade under the word “massage” in this town: a hotel spa sold as a resort amenity, an independent day spa selling an occasion, a solo clinical therapist selling a fix, and an acupuncture clinic that sells no massage at all. We separate them before ranking anything, because a $99 hour and a $185 hotel treatment are not competing for the same reader.
Acupuncture means a licensed acupuncturist
We count a provider in the acupuncture column only where a Texas-licensed acupuncturist (L.Ac.) practises. A chiropractor using filiform needles under Texas Board of Chiropractic Examiners rules is working from a different licence and a different training path, so we describe that practice as what it is rather than pooling it with the two L.Ac. clinics.
Prices printed only as published, in the duration published
Two of roughly fourteen independent spas in this market had a rate figure we could confirm. Six of the ten entries below therefore carry no price, and one carries a couples figure that is explicitly for two people. Where a number reached us through a single guest review rather than a rate card, we say that in the same breath as the number.
Links, addresses and namesakes checked by hand
One long-established spa’s primary domain now redirects to an unrelated business, so we describe that spa rather than pointing you at its old URL. One acupuncture practice is still listed by directories at another business’s street address; we publish the address from her own site. And several “Fredericksburg” massage businesses in the search results are in Virginia — none of them appears here.
Couples and group capacity treated as a specification
Couples massage is the product this market is built around, so we record it like a spec: who publishes a couples price, who has a dedicated couples suite, and how many therapists are actually on the roster when a group of four wants one morning.

We ran Fredericksburg’s organic and local results on 2 August 2026 — search plus a directory sweep across Google, Yelp, TripAdvisor, Vagaro, Groupon, Birdeye, Facebook, Nextdoor, MassageBook and Setmore — and fetched each business’s own site or booking page wherever it would load. Ratings, prices, hours and addresses are each business’s own published figures, cited per entry and date-stamped. The limits are worth stating plainly: most Yelp business pages and The Albert Hotel’s spa menu refused automated requests, so several figures come from search summaries quoting those pages rather than pages we read in full; no TDLR or chiropractic-board licence lookups were run, so credentials are as each practitioner publishes them; we placed no phone calls, which is why every unresolved question here is written as a question for you to ask; and no genuine Fredericksburg forum or neighbourhood thread naming providers surfaced in this pass. Rank is our editorial judgement. Palomino, at #9, is our own practice.

Editorial disclosure

This guide is researched, written, and published by Palomino Massage & Acupuncture — and Palomino is one of the 10 providers ranked below. We think you should know that before you read our opinion of the competition.

Rankings are editorial opinion. The underlying facts — services offered, published pricing, and each provider's own public review ratings — were observed from public sources on and can change at any time. We publish each business's own rating as cited text; we never score another studio ourselves.

We do not accept payment, commission, or any other consideration for placement on this list. No provider was contacted for approval, and no listing can be bought or removed.

Spotted something out of date or wrong about your business? Send us a correction and we will verify it against a public source and update this page.

At a Glance

Every Fredericksburg option, side by side

10 massage and acupuncture providers in Fredericksburg, Texas compared — modalities offered, published ratings, published pricing, and who each one suits.
Studio Massage Acupuncture Both in one session Rating Pricing Best for
European Day Spa of Fredericksburg 4.9 ★ · 24 Yelp reviews (observed Aug 2026); separately about 4.3 ★ on TripAdvisor, ranked #4 of 14 local spa and wellness listings $99 / 60 min · $145 / 90 min — the “Total Surrender” signature session, quoted publicly by the owner Anyone who wants to know what the massage costs before they call, from the spa that has been doing this in Fredericksburg the longest.
Fredericksburg Massage $60 / 30 min · $105 / 60 min · $150 / 90 min; prepaid six-packs $297 (6 × 30 min) or $513 (6 × 60 min) A local or a visitor with a specific pain complaint who wants the price settled before the appointment, not after it.
Hill Country Herb Garden Spa 340 Yelp reviews and 428 photos — star figure not captured in the sources we could read; 9.8/10 “Exceptional” on a lodging aggregator (observed Aug 2026) A group or a couple who want the spa visit to be the afternoon itself — grounds, garden and cottages included.
The Spa at The Albert Hotel A guest already staying downtown — or a resident booking Monday to Thursday, when the locals’ discount changes the arithmetic.
Rising Sun Acupuncture 5.0 ★ · 2 reviews aggregated across Yelp and Yahoo listings (observed Aug 2026) — a very small public sample Someone who wants acupuncture from a licensed acupuncturist and may need to be seen at short notice.
Fredericksburg Acupuncture A patient who wants acupuncture and custom herbal formulas from a practitioner whose training is fully documented.
FredSpa Massage Therapy 62 Yelp reviews — star figure not captured in the sources we could read; 6 Facebook reviews, 100% recommended (observed Aug 2026) About $160 for a 60-minute couples Swedish (two people); add-ons $10–$15 per person — no solo rate published Two people on a wine weekend who want the session booked and costed before they arrive.
Integrated Bodyworks 5.0 ★ · 19 Birdeye reviews (observed Aug 2026) A Fredericksburg resident who needs a weeknight appointment after work and a therapist who treats a complaint rather than an occasion.
Palomino Massage & AcupunctureOur studio Acupuncture $75 / 60 min · massage $150 / 60 min · acupuncture + massage $175 / 90 min The reader who wants acupuncture and bodywork in one appointment and would rather drive an hour than run two bookings.
Acacia Spa A Sunday-morning booking, or anyone who wants massage, a facial and nails handled in one small room by the same two people.

Ratings, prices, addresses and hours are each business’s own published figures, observed 2 August 2026 and cited in the entry below. An em dash means the business publishes no figure we could confirm — not that it is expensive. Six of these ten publish no price at all, which is the most honest single fact about this market.

04 — The Rankings

10 Fredericksburg providers, ranked

Listed 1 to 10. Rank is our editorial assessment for Fredericksburg readers — nobody paid to appear here or to move up.

Ranked number 1
Editor's Pick

European Day Spa of Fredericksburg

The town’s original day spa, with a price you can read

  • Area: Granite Avenue
  • Address: 402 Granite Ave, Fredericksburg, TX 78624
  • Public rating: 4.9 ★ · 24 Yelp reviews (observed Aug 2026); separately about 4.3 ★ on TripAdvisor, ranked #4 of 14 local spa and wellness listings
  • Published pricing: $99 / 60 min · $145 / 90 min — the “Total Surrender” signature session, quoted publicly by the owner
Modalities offered by European Day Spa of Fredericksburg: Signature massage packagesHot stone massageBamboo massageReflexologyFacials & paramedical aestheticsBody scrubs & wraps
  • MassageYes
  • AcupunctureNo

Fredericksburg’s longest-running day spa is also the one that will tell you a price without a phone call. Asked on Yelp what a session costs, owner Carissa answered with the figures: the signature “Total Surrender” treatment is $99 for 60 minutes and $145 for 90, aromatherapy, customization and a beverage included, with couples booked at the same per-person structure. In a market where roughly a dozen independent spas publish nothing at all, that one public answer is the most useful fact on this page.

The rest of the file supports the ranking rather than carrying it. The business opened in 1998 or 1999, and its own copy says it helped create Fredericksburg’s first day spa. Carissa’s credential list runs long: licensed cosmetologist since 1993, licensed massage therapist since 1996, certified medical massage therapist, certified paramedical aesthetician, intradermal cosmetic technician, Reiki master. The menu is built around named packages — Total Surrender, Forever Young, Sole Therapy, Restoration, Renaissance — alongside hot stone and bamboo massage, facials, body scrubs, reflexology and neck-and-back sessions.

What it is not is a wet-area spa. The same owner confirmed publicly that there is no dry or steam sauna and no hydrotherapy on site, and said she was not aware of anywhere in town that has either. It is also a small team on Granite Avenue rather than a resort operation, so wine-season weekends fill early.

Strengths

  • The only 60- and 90-minute massage rates in town quoted publicly by the owner herself — $99 and $145
  • Operating since 1998/1999; per its own copy, it helped create Fredericksburg’s first day spa
  • Owner holds a stacked credential set: LMT since 1996, certified medical massage therapist, paramedical aesthetician, cosmetologist, Reiki master
  • 4.9 stars across 24 Yelp reviews, and #4 of 14 local spa and wellness listings on TripAdvisor
  • Couples sessions priced on the same published per-person structure as solo bookings

Considerations

  • No dry or steam sauna and no hydrotherapy — confirmed publicly by the owner
  • Acupuncture not offered
  • Small team, so wine-season weekend slots are limited
  • Its two public scores were observed on different platforms and differ (4.9 on Yelp, about 4.3 on TripAdvisor)

Best for: Anyone who wants to know what the massage costs before they call, from the spa that has been doing this in Fredericksburg the longest.

Ranked number 2
Best Value

Fredericksburg Massage

A full rate card and a distinctly clinical brief

  • Area: East Main Street
  • Address: 1603 E Main St, Fredericksburg, TX 78624
  • Published pricing: $60 / 30 min · $105 / 60 min · $150 / 90 min; prepaid six-packs $297 (6 × 30 min) or $513 (6 × 60 min)
Modalities offered by Fredericksburg Massage: Therapeutic Swedish-style massageTrigger point therapySciatica & chronic pain sessionsCarpal tunnel reliefMigraine & insomnia focusCouples massage
  • MassageYes
  • AcupunctureNo

The most complete published rate card in Fredericksburg belongs to a solo therapist on East Main Street, and it is printed in plain numbers on her own site: $60 for 30 minutes, $105 for 60, $150 for 90, with a hand-and-foot add-on at $20 per person. The prepaid “Healthy SIX Pack” is $297 for six 30-minute sessions or $513 for six 60-minute ones — the latter works out to $85.50 an hour, the lowest per-hour figure we could confirm anywhere in this market, which is what earns this entry the value slot.

The framing is therapeutic rather than indulgent. Marla Buck’s service list is organised around problems instead of atmospheres: trigger-point work, carpal tunnel, sciatica, chronic pain, migraine and insomnia, plus general Swedish-style massage and a couples option. Payment is cash, check or most cards, and the practice asks for 24 hours’ notice on cancellations.

Two caveats belong on the record. There is no online booking — appointments are made by phone, on one of two published numbers. And the founding date does not reconcile: the site’s own tagline reads “Relaxing and Healing Since 1993,” while third-party listings describe the practice as serving the Hill Country since 2006, and we could not settle it. We also found no aggregate star rating; the reviews we read were mostly enthusiastic, with at least one detailed negative account among them.

Strengths

  • The only complete first-party price list in town, published across three session lengths
  • Prepaid six-packs bring a 60-minute session to $85.50 — the lowest confirmed per-hour figure in this guide
  • Sessions are described by problem — sciatica, carpal tunnel, migraine, trigger points — rather than by ambience
  • Rates, payment methods and the 24-hour cancellation policy are all stated on the practice’s own site

Considerations

  • No online booking — appointments by phone only, on one of two published numbers
  • Acupuncture not offered
  • Founding year unresolved: the site says “since 1993”, third-party listings say 2006
  • No aggregate star rating found on any platform we could read; the reviews we did read were not uniformly positive
  • Several directories still list an unrelated acupuncture practice at this same street address — see the Fredericksburg Acupuncture entry

Best for: A local or a visitor with a specific pain complaint who wants the price settled before the appointment, not after it.

Ranked number 3

Hill Country Herb Garden Spa

Five thousand square feet attached to a working herb farm

  • Area: Whitney Street
  • Address: 405 Whitney St, Fredericksburg, TX 78624
  • Public rating: 340 Yelp reviews and 428 photos — star figure not captured in the sources we could read; 9.8/10 “Exceptional” on a lodging aggregator (observed Aug 2026)
Modalities offered by Hill Country Herb Garden Spa: Therapeutic massageC-LMD lymphatic signature treatmentCustomized facialsBody scrubs & wrapsGua sha body treatmentHead spaInfrared sauna (spa guests)
  • MassageYes
  • AcupunctureNo

This is the closest thing Fredericksburg has to a destination spa: five thousand square feet of treatment space on a working herb farm, sharing the Whitney Street property with a restaurant, a gift shop and fourteen lodging cottages, replanted and remodelled after a November 2021 renovation. It also carries the largest public review pool of any spa in town — Yelp holds 340 reviews and 428 photos of it, and a lodging aggregator scores the property 9.8 out of 10.

The menu leans into the setting rather than away from it. Alongside therapeutic massage, customized facials, waxing and a head-spa service, the signature treatment stacks a C-LMD lymphatic technique with hot stones, compression work, scalp massage and aromatherapy built from the garden itself. Body treatments run to scrubs, wraps and gua sha, and spa guests get access to an infrared sauna — the only sauna of any description we could confirm in this market.

Two practical notes. No treatment-level pricing is published anywhere we could find: bath salts and bubble bath in the gift shop have prices online, massages do not, so a phone call is the only way to cost a visit. And the property keeps its own calendar — closed Mondays, 10am to 4pm Tuesdays, 10am to 6pm Wednesday to Friday, 9am to 6pm Saturdays and 9am to 3pm Sundays. One recent review reported the on-site restaurant temporarily closed, so confirm dining separately from the spa booking.

Strengths

  • Destination-scale: a 5,000 sq ft spa attached to a working herb farm, restaurant, gift shop and 14 lodging cottages
  • The largest public review pool of any spa in town — 340 Yelp reviews — plus a 9.8/10 lodging-aggregator score
  • A genuinely distinctive signature treatment combining C-LMD lymphatic work, hot stones, compression, scalp massage and garden aromatherapy
  • Infrared sauna access for spa guests — the only sauna of any kind we could confirm in Fredericksburg
  • Open seven days a week except Monday, including full Saturday and Sunday-morning hours

Considerations

  • No treatment-level pricing published — only gift-shop retail prices appear online
  • Closed Mondays; Tuesday hours end at 4pm
  • Acupuncture is not listed on any source we read, but no source rules it out either — treat it as unlisted rather than confirmed absent
  • One recent review reported the on-site restaurant temporarily closed; confirm dining separately from the spa
  • The star figure behind its 340 Yelp reviews was not captured in the pages we could read

Best for: A group or a couple who want the spa visit to be the afternoon itself — grounds, garden and cottages included.

Ranked number 4

The Spa at The Albert Hotel

The new premium tier, with a locals-only weekday rate

  • Area: The Albert Hotel, downtown
Modalities offered by The Spa at The Albert Hotel: Deep tissue massageSwedish & sports massageHot stone massageHydrotherapyReflexologyDetox body wrapsCouples suite
  • MassageYes
  • AcupunctureNo

The Albert opened as an urban Hill Country resort — 105 rooms across four restored nineteenth-century buildings on two downtown acres — and its spa arrived with it at the top of the local price ladder. The menu, as quoted in the sources we could read, covers deep tissue, Swedish, sports and hot stone massage, aromatherapy, reflexology and hydrotherapy, detox wraps, scalp-massage and collagen-mask add-ons, a couples suite booked through the spa’s own email address, and two house treatments: the Albert Signature Ritual Massage and one named for Enchanted Rock, eighteen miles north.

What distinguishes it is less the treatment list than the structure around it. Every spa booking includes complimentary pool and valet access for up to about three hours; a 50-minute massage or facial comes with a $30 treatment enhancement at no charge; $200 of spa spend earns 15% off retail; and locals take 20% off spa services Monday through Thursday — the only resident-pricing arrangement we found any Fredericksburg spa publishing.

The caveats here are about evidence rather than about the spa. The hotel’s own spa menu page refused every automated request we made, so the details above come from search results quoting that page rather than from the page itself. And the single price figure in circulation — roughly $185 for a massage, from one published guest review — carries no session length. Read it as the shape of the tier, not as a quoted rate.

Strengths

  • Locals take 20% off spa services Monday through Thursday — the only resident-pricing structure we found in this market
  • Every treatment includes complimentary pool and valet access, up to about three hours
  • A $30 treatment enhancement is included free with a 50-minute massage or facial booking
  • The broadest resort-style menu in town, including hydrotherapy, detox wraps and a bookable couples suite
  • Two house treatments written for this specific place, including one named for Enchanted Rock

Considerations

  • No rate card we could read — the hotel’s own spa menu page refused our requests, so its details come from search summaries quoting it
  • The only price figure we found, about $185 for a massage, comes from a single published guest review and does not state a session length
  • Acupuncture not offered
  • Resort tier: the spa sits inside a hotel operation, with hotel service context and hotel pricing
  • No aggregate star rating for the spa itself could be confirmed on any platform

Best for: A guest already staying downtown — or a resident booking Monday to Thursday, when the locals’ discount changes the arithmetic.

Ranked number 5

Rising Sun Acupuncture

Acupuncture, cupping and herbs, four days a week

  • Area: East Trailmoor Drive
  • Address: 108 E Trailmoor Dr, Ste 9, Fredericksburg, TX 78624
  • Public rating: 5.0 ★ · 2 reviews aggregated across Yelp and Yahoo listings (observed Aug 2026) — a very small public sample
Modalities offered by Rising Sun Acupuncture: AcupunctureCuppingChinese herbal medicineNutritional supplementationHolistic therapies
  • MassageNo
  • AcupunctureYes

One of the two independent, Texas-licensed acupuncture practices we confirmed inside Fredericksburg, and the better documented of the pair. Kimberly Kraus — listed in some sources under the surname Smajstrla — practises as an L.Ac. with an MSOM plus ACN and CCI certifications, from Suite 9 on East Trailmoor Drive. Her clinic’s own site loaded cleanly for us and lists acupuncture, cupping, Chinese herbal medicine and nutritional supplements; it also lists Magnetic Resonance Therapy and a Zyto biocommunication scan among its services, which we record as published rather than assess.

Scheduling is the part worth planning around. Posted hours are Monday, Tuesday, Thursday and Friday, 11am to 6pm, with Saturdays by appointment and no Wednesday hours listed at all. The clinic also explicitly invites patients to phone for a same-day fit-in when something acute comes up — unusual candour for a solo practice, and genuinely useful if you are in town for two days rather than two weeks.

Two limits. No pricing is published anywhere we could find, so what a first visit costs is a phone call rather than a click. And the public review sample is very small: five stars from two reviews aggregated across Yelp and Yahoo listings, both of which credit the practitioner by name, one specifically for work on a car-accident shoulder injury. Massage is not part of the offering here.

Strengths

  • A Texas-licensed acupuncturist (L.Ac., MSOM, ACN, CCI) with her credentials published on her own site
  • Acupuncture, cupping and Chinese herbal medicine available from the same practitioner
  • The clinic explicitly invites same-day phone calls for acute problems
  • Contact details, hours and services all confirmed directly from the practice’s own website
  • Saturday appointments available on request — rare among this town’s clinical practices

Considerations

  • Massage not offered — this is an acupuncture-only practice
  • No pricing published anywhere we could find
  • No Wednesday hours posted; weekday hours start at 11am
  • Public review sample is two reviews, aggregated from listing sites rather than a single primary platform

Best for: Someone who wants acupuncture from a licensed acupuncturist and may need to be seen at short notice.

Ranked number 6

Fredericksburg Acupuncture

A Chengdu-trained herbalist working by appointment on Heritage Hills

  • Area: Heritage Hills Drive
  • Address: 101 Heritage Hills Dr, Fredericksburg, TX 78624
Modalities offered by Fredericksburg Acupuncture: AcupunctureChinese herbal medicineDiet & nutrition planningLifestyle and exercise guidance
  • MassageNo
  • AcupunctureYes

Natalie Knight, L.Ac., MSTOM, is the town’s other licensed acupuncturist, and her credential trail is the deepest we read in this market: a Master of Science in Traditional Oriental Medicine from Pacific College of Oriental Medicine in San Diego in 2010, preceded by a 2008 international internship in Chengdu, China, rotating through cardiology, gastroenterology, diabetes, respiratory and herbal-pharmacy departments. She is state-licensed as both an acupuncturist and a herbalist, and describes her approach as integrative and individualized, working diet, nutrition, exercise and lifestyle into a plan alongside acupuncture and herbs.

Finding her is the hard part, and that is a fact about directory data rather than about the practice. Several third-party listings still place “Fredericksburg Acupuncture” at 1603 East Main Street, Unit Z — the street address of the unrelated massage practice ranked second on this page. Her own current site gives 101 Heritage Hills Drive, and that is the address we publish. Those same directories tag the practice with service categories, chakra healing and shamanic healing among them, that appear nowhere on her own pages; we could not corroborate them and do not list them as services offered.

Two things you will have to ask for. Her site links a pricing page whose contents we could not capture, and a third-party listing shows Monday-to-Thursday hours ending at 4pm that we could not confirm against her own site.

Strengths

  • MS in Traditional Oriental Medicine from Pacific College of Oriental Medicine, San Diego (2010)
  • Completed a 2008 international TCM internship in Chengdu, China, with hospital rotations across five departments
  • Texas-licensed as both an acupuncturist and a herbalist
  • Practitioner background, address and contact details all confirmed by direct fetch of her own site
  • Treatment plans explicitly fold in diet, nutrition, exercise and lifestyle alongside acupuncture and herbs

Considerations

  • Massage not offered
  • Pricing not published in anything we could read — her site links a pricing page whose contents we could not capture
  • Several directories still list this practice at 1603 E Main St, Unit Z, the address of an unrelated massage business; her own site gives 101 Heritage Hills Dr
  • A third-party listing shows Mon–Thu 9:30am–4pm and no Friday–Sunday hours; we could not confirm that against her own site
  • No aggregate star rating could be confirmed on any platform

Best for: A patient who wants acupuncture and custom herbal formulas from a practitioner whose training is fully documented.

Ranked number 7

FredSpa Massage Therapy

Downtown couples rooms and the broadest add-on menu in town

  • Area: East Austin Street, historic district
  • Address: 112 E Austin St, Ste A, Fredericksburg, TX 78624
  • Public rating: 62 Yelp reviews — star figure not captured in the sources we could read; 6 Facebook reviews, 100% recommended (observed Aug 2026)
  • Published pricing: About $160 for a 60-minute couples Swedish (two people); add-ons $10–$15 per person — no solo rate published
Modalities offered by FredSpa Massage Therapy: Couples massageSwedish massageDeep tissueThai massageHot stoneFoot reflexologyCupping
  • MassageYes
  • AcupunctureNo

Couples massage is the product this town actually sells, and FredSpa prices it more legibly than anyone else downtown. A 60-minute couples Swedish session was quoted at around $160 for the pair, with hot stones, deep tissue or an Ashiatsu back-walking add-on at $10 more per person, and a 90-minute version with stones and add-ons at $15 more per person; a one-hour cupping-massage package was reported at around $180. Those are all couples numbers. No solo rate is published anywhere we found — a strange gap for a business a single traveller might also want.

The menu itself is the broadest of any downtown storefront ranked here: Swedish, deep tissue, Thai, hot stone, foot reflexology, prenatal work, cupping and the Ashiatsu add-on, from a suite on East Austin Street in the historic district, open since roughly 2018.

Two housekeeping notes before you book. The practice’s old Setmore booking page now carries the label “INACTIVE WEB SITE PLEASE USE THE LINK BELOW,” confirming a booking-platform migration — if an old search result lands you there, follow the link it gives rather than filling in the form. And the public review picture is partial: 62 Yelp reviews with no star figure captured in what we could read, plus six Facebook reviews recommending it unanimously. Acupuncture is not offered, as at every other massage business in this town.

Strengths

  • The only couples-massage figures published anywhere in this market, add-on pricing included
  • Seven-modality menu including Thai, cupping and an Ashiatsu back-walking add-on
  • Downtown historic-district location, walkable from Main Street lodging
  • Prenatal massage on the standard menu

Considerations

  • No solo (single-person) rate published — only couples-package figures were confirmed
  • The published prices are per pair, not per person; add-ons are quoted per person on top
  • The old Setmore booking page is explicitly marked inactive and redirects elsewhere
  • Acupuncture not offered
  • Yelp shows 62 reviews but the star figure was not captured in the pages we could read

Best for: Two people on a wine weekend who want the session booked and costed before they arrive.

Ranked number 8

Integrated Bodyworks

Weeknight clinical appointments, no tourist calendar

  • Area: West Windcrest Street
  • Address: 200 W Windcrest St, Ste 202, Fredericksburg, TX 78624
  • Public rating: 5.0 ★ · 19 Birdeye reviews (observed Aug 2026)
Modalities offered by Integrated Bodyworks: Therapeutic massageMedical massageRelaxation massageAilment-specific sessions
  • MassageYes
  • AcupunctureNo

The practice on this list most obviously built for people who live here rather than visit. Integrated Bodyworks has run from Suite 202 on West Windcrest Street since 2012, describing its work as therapeutic, medical and relaxation massage shaped around the particular ailment a client brings through the door, and it holds a clean public score: 5.0 stars across 19 Birdeye reviews.

Its calendar is the distinguishing feature, and it runs against the grain of everything else in this guide. Appointments are available Monday to Friday from 9am to 8pm, and the practice is closed both weekend days — the inverse of the tourist-facing spas, which concentrate their availability exactly where the wine traffic is. If you work in Fredericksburg and want a table at 6.30pm on a Wednesday, this is the entry on this page that solves that problem. If your free day is Saturday, it is the entry that cannot.

Two blanks to fill by phone. There is no published pricing of any kind, which puts this practice with most of the market rather than apart from it, and the model is appointment-only, so there is no walking in on the way past. Acupuncture is not part of the offering. Everything we verified here came from the practice’s own site and its Birdeye profile — there is no rate card, no online booking flow and no third-party price quote anywhere we looked.

Strengths

  • 5.0 stars across 19 Birdeye reviews — the strongest confirmed numeric score in this guide
  • Weekday appointments run to 8pm, the latest published availability we found in Fredericksburg
  • Operating from the same Windcrest Street suite since 2012
  • Sessions are described as tailored to a specific ailment rather than sold as a fixed menu item

Considerations

  • Closed Saturdays and Sundays — no weekend availability at all
  • No published pricing of any kind
  • Appointment only; no walk-ins
  • Acupuncture not offered

Best for: A Fredericksburg resident who needs a weeknight appointment after work and a therapist who treats a complaint rather than an occasion.

Ranked number 9
Our studio

Palomino Massage & Acupuncture

Cupping and gua sha alongside the acupuncture, one practitioner

  • Area: Downtown Marble Falls, on Main Street
  • Address: 515 Main St, Marble Falls, TX 78654
  • Published pricing: Acupuncture $75 / 60 min · massage $150 / 60 min · acupuncture + massage $175 / 90 min
Modalities offered by Palomino Massage & Acupuncture: AcupunctureTherapeutic massageDeep tissueDry needling (within L.Ac. scope)Cupping & gua shaChinese herbal medicine
  • MassageYes
  • AcupunctureYes

We publish this guide and Palomino is our own practice — the disclosure below the rankings says so plainly. Eight Fredericksburg businesses rank above this entry because, for a reader who lives in or is visiting Fredericksburg, they beat it on their own terms: they are in town, several publish prices, and one of them has been doing this on Granite Avenue since 1998. Ninth is the honest position for a practice fifty-three miles away.

What it answers is the single thing this market does not sell. Julie K. O’Leary holds both a Texas acupuncture licence and a massage therapy licence and performs both modalities herself; the signature session runs 90 minutes and blends acupuncture with hands-on bodywork inside one visit rather than splitting them across two appointments on two calendars. Across the eighteen massage and spa businesses and the two licensed acupuncture practices we found in Fredericksburg, none lists both in anything we could read. She has practised since 2004 — more than twenty years — holds a Master of Oriental Medicine from AOMA Graduate School of Integrative Medicine in Austin and a BA in Medical Anthropology from UT Austin, and is a licensed herbalist.

The trade-offs are real and belong here: an hour each way, one practitioner with no second therapist behind a full day, no facials or nail services or couples suite, and prices above the town’s own — $150 for a 60-minute therapeutic massage and $175 for the 90-minute signature session, against the $99-to-$105 hour Fredericksburg’s published rates buy for massage alone.

Strengths

  • One practitioner holds both a Texas acupuncture licence and a massage therapy licence, and performs both modalities personally
  • Acupuncture and hands-on bodywork blended inside a single 90-minute session rather than booked as two appointments
  • Master of Oriental Medicine from AOMA Graduate School of Integrative Medicine in Austin; BA in Medical Anthropology from UT Austin; licensed herbalist
  • Practising since 2004 — more than twenty years
  • Cupping, gua sha and Chinese herbal medicine available from the same practitioner, at a fixed Marble Falls address with online booking

Considerations

  • Not in Fredericksburg — about 53 miles and 56 to 64 minutes each way on US-281
  • One practitioner, so a fully booked day has no second therapist behind it
  • No facials, nail services, couples suite or wet area — this is a two-modality practice, not a day spa
  • Priced above the town: $150 for a 60-minute therapeutic massage and $175 for the 90-minute signature session, against the $99–$105 hour Fredericksburg’s own published rates buy for massage alone
  • Recently rebranded and relocated (JKO Massage & Acupuncture, 609 N US Hwy 281 → Palomino, 515 Main St), so some directories still carry the former name, address and review history
  • This guide is published by Palomino — our own placement in it is our editorial call, not an outside verdict

Best for: The reader who wants acupuncture and bodywork in one appointment and would rather drive an hour than run two bookings.

Ranked number 10

Acacia Spa

Two therapists, Sundays open and Saturdays closed

  • Area: East Creek Street
  • Address: 107 E Creek St, Fredericksburg, TX 78624
Modalities offered by Acacia Spa: MassageFacialsNatural nail services
  • MassageYes
  • AcupunctureNo

A two-person boutique on East Creek Street with a review pattern that is consistently five stars and never adds up to a number. Yelp, TripAdvisor and Facebook all carry positive reviews naming individual therapists — Sayda, Marisol, Bri and Charlene recur across them — but no platform we could read published an aggregate score, and Facebook shows three reviews and no rating at all. The business has also been named a top-three spa in the Fredericksburg Standard’s readers’ choice awards, which we cite as reported locally rather than as a result we retrieved from the publication itself.

The offering is massage, facials and natural nail services, making this the only business ranked on this page that also does nails. The model is appointment-only and the staff is two people, so same-day availability during a wine weekend is genuinely unlikely — plan it before you plan the tasting.

The hours are the detail to build around, and they run against the grain of a tourist town: Monday to Friday 10am to 5pm, Sunday 10am to 3pm, and closed Saturdays. For a visitor whose free day is Saturday, that is disqualifying. For a Sunday-morning booking before the drive home, it is one of the few doors open in Fredericksburg. No pricing is published anywhere we found, and no source we read mentions acupuncture in either direction.

Strengths

  • Consistently five-star reviews across Yelp, TripAdvisor and Facebook, several naming individual therapists
  • Named a top-three spa in the Fredericksburg Standard readers’ choice awards, per local reporting of the result
  • The only business ranked on this page that also offers natural nail services alongside massage and facials
  • Sunday hours, 10am to 3pm — one of the few Sunday-morning options in town

Considerations

  • Closed Saturdays — the single busiest visitor day of a wine weekend
  • No aggregate star rating published on any platform we could read; Facebook shows three reviews and no rating
  • A two-person team on an appointment-only model, so same-day slots are limited
  • No pricing published
  • Acupuncture is not mentioned by any source we read, in either direction

Best for: A Sunday-morning booking, or anyone who wants massage, a facial and nails handled in one small room by the same two people.

05 — Choose By Scenario

Which one is right for you?

  • If you'rea couple marking an anniversary on a wine weekend trying to book two people into one afternoon on a budget agreed before you arrive…

    Choose FredSpa Massage Therapy

    The only couples figures published in this market: about $160 for a 60-minute couples Swedish for the pair, add-ons at $10–$15 per person, from a historic-district suite you can walk to from Main Street lodging. Book ahead in April and October — those are the weekends the whole town is competing for.

  • If you'rea group of four or more planning a girls’ weekend trying to make the spa visit the whole day rather than a stop inside it…

    Choose Hill Country Herb Garden Spa

    Five thousand square feet of treatment space on a working herb farm, with a restaurant, gift shop and fourteen cottages on the same property, plus infrared sauna access for spa guests. No treatment pricing is published, so call with your headcount and timings — and confirm the restaurant separately, since one recent review reported it temporarily closed.

  • If you'rean Enchanted Rock hiker whose calves and lower back are done trying to get recovery work at a known price instead of a spa afternoon…

    Choose Fredericksburg Massage

    The rate card is on the site — $60 for 30 minutes, $105 for 60, $150 for 90 — and the service list is written around problems: trigger points, sciatica, chronic pain. Booking is by phone only, on one of two published numbers, so make the call before you drive back into town.

  • If you'rea Fredericksburg resident who works a normal week trying to find an evening appointment without the tourist-season scramble…

    Choose Integrated Bodyworks

    Weekday appointments run to 8pm — the latest published availability we found in town — from a practice on West Windcrest Street holding 5.0 stars across 19 Birdeye reviews. It is closed both weekend days and publishes no pricing, so this one is a weeknight booking made over the phone.

  • If you'resomeone who specifically wants acupuncture, not needling generally trying to see a Texas-licensed acupuncturist, possibly at short notice…

    Choose Rising Sun Acupuncture

    A licensed acupuncturist with her credentials published on her own site, offering acupuncture, cupping and Chinese herbal medicine, and explicitly inviting phone calls for a same-day fit-in when something is acute. Hours are Monday, Tuesday, Thursday and Friday, 11am to 6pm, with Saturdays by appointment. No pricing is published — ask when you call.

  • If you'reanyone who wants acupuncture and bodywork in the same visit trying to avoid running two bookings on two calendars…

    Choose Palomino Massage & Acupuncture

    Fredericksburg cannot sell that combination at any price: no business we found offers both, so the in-town version is two appointments at two businesses. Palomino blends both in one 90-minute session, 53 miles northeast on US-281 — and it is our own practice, which you should weigh accordingly.

60min

Typical route

US-281 North through Johnson City

06 — Worth The Drive?

What the hour to Marble Falls buys — and when it buys nothing

Two independent distance sources put Fredericksburg to 515 Main Street in Marble Falls at about 53 miles and 56 to 64 minutes, both routing it northeast on US-281 with Johnson City at roughly the halfway mark, some 30 miles out. It is one highway for essentially the whole trip: the US-281 that carries Fredericksburg traffic through Johnson City and on into Burnet County.

For massage on its own, the arithmetic does not survive contact with this town. Fredericksburg publishes a $99 hour at European Day Spa and a $105 hour at Fredericksburg Massage, has a destination spa on a herb farm, three hotel spas, a couples specialist downtown and a clinical practice open to 8pm on weeknights. Driving an hour each way for a service the market already sells at a published rate is not a recommendation this guide is going to make, which is why eight Fredericksburg businesses rank above our own.

What changes the calculation is the combination. If you want acupuncture and hands-on bodywork in the same visit, Fredericksburg cannot sell it at any price — the two licensed acupuncture practices offer no massage, none of the eighteen massage businesses lists acupuncture, and the in-town version is two intake forms on two calendars, one of which will not quote you a price until you ring. The hour on US-281 replaces that with a single 90-minute appointment. It is worth being blunt about when that still does not add up: if you are staying in Fredericksburg for a two-day weekend, this is two hours of it. If you are already heading up the highway toward Johnson City or Marble Falls, it is not a detour at all.

07 — Good To Know

Common questions about massage & acupuncture in Fredericksburg

01How much is a couples massage in Fredericksburg, and how early should we book?

The clearest figures belong to FredSpa: a 60-minute couples Swedish session was quoted at around $160 for the pair, with hot stones, deep tissue or an Ashiatsu back-walking add-on at $10 more per person, a 90-minute version with add-ons at $15 more per person, and a one-hour cupping-massage package reported around $180. European Day Spa books couples at the same per-person structure as its solo signature session — $99 for 60 minutes, $145 for 90. Most other spas in town publish nothing at all.

On timing: spa demand here tracks wine tourism, which peaks in April for bluebonnet season, again through the October–November harvest, and around the Christmas Marktplatz weeks. Several businesses explicitly reference needing advance booking at those points. Figures were observed on 2 August 2026 — confirm on the phone.

02Day spa or solo massage therapist — which tier do I actually want in Fredericksburg?

They are different products at different prices. The day-spa tier — European Day Spa, Acacia Spa, FredSpa, Hill Country Herb Garden — sells the occasion: facials, scrubs, nails, couples rooms, weekend and Sunday hours, and confirmed prices in the $99–$180 band for 60 to 90 minutes where they publish any. The solo clinical tier — Fredericksburg Massage, Integrated Bodyworks, Progressive Muscular Therapy, Margaret Kaderli’s Ashiatsu practice, Robbyn Dodd — sells the fix: one therapist, one table, sessions organised around sciatica, trigger points, postural work or carpal tunnel, mostly weekday hours and phone booking, with confirmed prices from $60 to $150.

The three hotel spas are a third thing again, priced as resort amenities. If the occasion is the point, book a spa. If a specific pain is the point, book a therapist.

03Who are Fredericksburg’s actual licensed acupuncturists?

Two, both solo practices, both confirmed from their own websites. Rising Sun Acupuncture is Kimberly Kraus — listed in some sources under the surname Smajstrla — an L.Ac. with an MSOM plus ACN and CCI certifications, at Suite 9 on East Trailmoor Drive, with posted hours Monday, Tuesday, Thursday and Friday, 11am to 6pm, and Saturdays by appointment. Fredericksburg Acupuncture is Natalie Knight, L.Ac., MSTOM, a Texas-licensed acupuncturist and herbalist with a 2010 Master of Science from Pacific College of Oriental Medicine in San Diego and a 2008 hospital internship in Chengdu, China; her own site gives 101 Heritage Hills Drive.

Neither offers massage. Neither publishes a session rate we could read. A third local practice advertises acupuncture under a chiropractic licence — that distinction is the next question.

04Is the needling at Dickerson Chiropractic the same thing as acupuncture?

It is a different credential, and the difference is worth understanding before you book. Dr. Rex Dickerson is a Doctor of Chiropractic — Texas Chiropractic College, 2003, practising in Fredericksburg since January 2004 — not a Texas-licensed acupuncturist. Texas chiropractors may use filiform needles under Texas Board of Chiropractic Examiners rules, a scope the Texas Association of Acupuncture and Oriental Medicine has contested in litigation: TAAOM sued in February 2014, and a 2016 Third Court of Appeals opinion sided partly with its reasoning without voiding the Board’s rules outright.

Both are real, legal services; they rest on different licences and different training paths. If you specifically want an L.Ac. inside Fredericksburg, that means Rising Sun Acupuncture or Fredericksburg Acupuncture. Our Bee Cave guide at /best-massage-acupuncture/bee-cave-tx works through the full credential taxonomy.

05Does The Albert Hotel spa really discount for locals?

Its own marketing says locals take 20% off spa services Monday through Thursday, and it is the only resident-pricing arrangement we found any Fredericksburg spa publishing. Other promotional terms appear alongside it: a complimentary $30 treatment enhancement with a 50-minute massage or facial, 15% off retail on a $200-plus spa spend, and complimentary pool and valet access for up to about three hours with any treatment.

What we cannot give you is the base rate that discount comes off. The hotel’s own spa menu page refused every automated request we made, so there is no rate card in this guide, and the single figure in circulation — roughly $185 for a massage, from one published guest review — does not state a session length. Ask for both when you call, and ask what counts as local.

06Which Fredericksburg spas have a sauna or hydrotherapy?

Effectively none that we could confirm, and the clearest answer on the public record came from an owner rather than from us. Asked on Yelp whether European Day Spa had a dry or steam sauna or any hydrotherapy service, owner Carissa answered that it does not — and added that she was not aware of anyone in town offering steam or hydrotherapy either.

The nearest thing we found is Hill Country Herb Garden Spa, which lists infrared sauna access for spa guests: a different technology from a traditional dry or steam room. The Albert Hotel’s menu does list hydrotherapy among its services, but that page refused our requests, so we could not read what it includes. If a wet area matters to your booking, settle it on the phone before you pay a deposit.

07How do I get both massage and acupuncture on one Fredericksburg weekend?

Yes — as two bookings at two businesses. We found no Fredericksburg business pairing licensed massage with acupuncture: eighteen massage and spa businesses, none of them listing acupuncture in any source we could read, and two licensed acupuncture practices, neither offering massage. That is a town-level finding; we did not survey the rest of Gillespie County.

Practically, that means bodywork at a day spa or a solo therapist, and acupuncture at Rising Sun or Fredericksburg Acupuncture — noting that both clinics keep weekday-daytime hours, which is a hard constraint on a Saturday-and-Sunday trip. The one-appointment version means leaving town: Palomino, which publishes this guide, blends both in a single 90-minute session 53 miles northeast on US-281. That is our own practice, and we rank it ninth here.

Sources & Data

Where these facts came from

Provider details, ratings, published pricing, and service lists on this page were observed on . Ratings and prices drift — confirm anything decision-critical with the source before you book.

  1. European Day Spa of Fredericksburg — own site (services, practitioner background)eurospafredericksburg.com
  2. European Day Spa — Yelp Q&A (owner-quoted prices; sauna and hydrotherapy answer)yelp.com
  3. European Day Spa — Yelp business listing (rating, review count)yelp.com
  4. Fredericksburg Massage (Marla Buck) — own site (published rate card, services)fredericksburgmassage.com
  5. Hill Country Herb Garden Spa — own site (spa services, property, hours)hillcountryherbgarden.com
  6. Hill Country Herb Garden — spa services pagehillcountryherbgarden.com
  7. The Spa at The Albert Hotel — spa menu (locals discount, inclusions; read via search summaries)alberthotel.com
  8. The Albert Hotel — spa overview pagealberthotel.com
  9. The Albert Hotel — TripAdvisor reviews (the reported massage price point)tripadvisor.com
  10. Rising Sun Acupuncture — own site, clinic information (practitioner, hours, contact)fburgtxacupuncture.com
  11. Rising Sun Acupuncture — own site, servicesfburgtxacupuncture.com
  12. Fredericksburg Acupuncture (Natalie Knight, L.Ac.) — own site, contact and current addressfredericksburgacupuncture.com
  13. Fredericksburg Acupuncture — own site, about acupuncture and practitioner trainingfredericksburgacupuncture.com
  14. FredSpa Massage Therapy — Yelp business listing (review count, services)yelp.com
  15. FredSpa Massage Therapy — Setmore booking page (platform migration notice)fredspamassagetherapy.setmore.com
  16. FredSpa Massage Therapy — Visit Fredericksburg directory listingvisitfredericksburgtx.com
  17. Integrated Bodyworks — own site (services, hours, established date)integratedbodyworksfbg.com
  18. Integrated Bodyworks — Birdeye profile (rating, review count)reviews.birdeye.com
  19. Acacia Spa — Yelp business listing (services, therapist names, review pattern)yelp.com
  20. Acacia Spa — Vagaro reviews pagevagaro.com
  21. Dickerson Chiropractic and Acupuncture — practitioner background and practice historydickersonchiro.com
  22. Texas Association of Acupuncture and Oriental Medicine — consumer advisory on needling scopetaaom.org
  23. Council of Chiropractic Acupuncture — state requirementscouncilofchiropracticacupuncture.com
  24. Above and Beyond Day Spa — Birdeye profile (rating, recent review activity)reviews.birdeye.com
  25. Above and Beyond Day Spa — former primary domain (confirmed redirecting off-market, Aug 2026)fredericksburg-spa.com
  26. Better Existence Sweet Transformation Massage — Yelp listing (status could not be confirmed)yelp.com
  27. Margaret Kaderli, LMT — own site (Ashiatsu practice, training)margaretkaderli.com
  28. Progressive Muscular Therapy (Brandi Rivera, LMT) — own siteprogressivemusculartherapy.com
  29. Robbyn Dodd Massage Therapy — own site and MassageBook listingrobbyndoddmassage.com
  30. Visit Fredericksburg TX — spas and wellness directoryvisitfredericksburgtx.com
  31. TripAdvisor — Fredericksburg, TX destination forum (spa recommendation threads)tripadvisor.co.uk
  32. Distance Cities — Fredericksburg, TX to Marble Falls, TXdistance-cities.com
  33. Trippy — Fredericksburg, TX to Marble Falls distance and routetrippy.com
  34. Palomino Massage & Acupuncture — own site (practitioner credentials, services, published rates)marblefallsspa.com
Book Your Visit

Ready to stop comparing?

Palomino is one practitioner start to finish — Julie K. O'Leary, L.Ac. and LMT — at 515 Main St in Marble Falls, about 60 minutes from Fredericksburg. Book online in under a minute, or call and she will help you match the session to how you actually feel.