Matthew Nickerson, LMT

NPI #1043826290 in Burlington, Wisconsin

Provider Information

NPI Number: 1043826290
Entity Type: Individual
Name: Matthew Nickerson, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Sep 22, 2020
Last Updated: Sep 22, 2020

Practice Location

Address: 100 W CHESTNUT ST
City: Burlington
State: Wisconsin
ZIP Code: 53105-1203
Phone: (414) 208-4323

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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