Individual provider · Type 1 NPI

Matthew Nickerson, LMT

Massage Therapist · Burlington, WI

NPI number 1043826290 Active

Practice location

100 W Chestnut St
Burlington, WI 53105-1203

Call (414) 208-4323 Map

Mailing address

536 E Dover St
Milwaukee, WI 53207-2106

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X15019-146 (WI)

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 1043826290

Matthew Nickerson, LMT's National Provider Identifier is 1043826290, issued on Sep 22, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Burlington, WI. The record was last updated on Sep 22, 2020.