Individual provider · Type 1 NPI

Nevin Grossnickle, CERTIFIED MASSAGE TH

Massage Therapist · Wausau, WI

NPI number 1467861328 Active

Practice location

319 4th Street, Ll
Wausau, WI 54403

Mailing address

981 Wambold Dr
Mosinee, WI 54455-9583

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X10444-146 (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 1467861328

Nevin Grossnickle, CERTIFIED MASSAGE TH's National Provider Identifier is 1467861328, issued on Aug 5, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Wausau, WI. The record was last updated on Aug 7, 2014.