Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW NICKERSON, LMT
Active Sole ProprietorMATTHEW NICKERSON, LMT is a Massage Therapist healthcare provider located in BURLINGTON, Wisconsin. NPI 1043826290 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · BURLINGTON, WI
Registration Details
- NPI Number
- 1043826290
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 22, 2020 (5.8677914828034 yrs)
- Last Updated
- Sep 22, 2020
- License
-
15019-146 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
100 W CHESTNUT STBURLINGTON, WI, 531051203Browse WI providers · Browse ZIP 53105
- Phone
- 4142084323
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in BURLINGTON, WI
| Name | Credential | NPI |
|---|---|---|
| MRS. LORI JEAN THOMAS | LMT | 1649560533 |
| DONALD FRANCIS WAHL | LMT | 1497443576 |
| KERRY REISING | — | 1770359259 |
| MELISSA LEA GROZA | LMT | 1053170837 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.