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Matthew Nickerson, LMT
Massage Therapist in Burlington, Wisconsin
NPI 1043826290

Matthew Nickerson is a Massage Therapist based in Milwaukee, WI. Matthew Nickerson practices in Burlington, WI and has the professional credentials of LMT. The NPI Number for Matthew Nickerson is 1043826290 and holds a License No. 15019-146 (Wisconsin).

The current practice location address for Matthew Nickerson is 100 W Chestnut St, Burlington, WI and can be reached out via phone at 414-208-4323.

Location: 100 W Chestnut St, Burlington, WI, 53207-2106
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043826290
Provider Name
Matthew Nickerson
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
100 W Chestnut St, Burlington, WI, 53207-2106
Phone Number
414-208-4323
Fax Number
Provider Enumeration Date
09/22/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 W Chestnut St
City
Burlington
State
Wisconsin
Zip
53105-1203
Phone Number
414-208-4323
Fax Number
person
Provider Business Mailing Address Details
Address
100 W Chestnut St
City
Burlington
State
Wisconsin
Zip
53105-1203
Phone Number
414-208-4323
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
15019-146 (Wisconsin)
Definition
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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