MATTHEW NICKERSON LMT
NPI 1043826290
Massage Therapist in Burlington, WI

Active since September 22, 2020
100 W CHESTNUT ST, BURLINGTON, WI 53105(414) 208-4323 Get Directions Write a Review

NPPES record last updated: September 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matthew Nickerson Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW NICKERSON LMT (NPI 1043826290) is an individual massage therapist in Burlington, Wisconsin, licensed in Wisconsin (15019-146) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1043826290
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameMATTHEW NICKERSONCredential: LMT
Location Address100 W CHESTNUT STBurlington, WI 53105-1203
Mailing Address536 E Dover StMilwaukee, WI 53207-2106 · (719) 963-2747
Sole ProprietorYes
Enumeration DateSeptember 22, 2020
NPPES CertifiedSeptember 22, 2020
NPI 1043826290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License Licensed in WI · 15019-146
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.
100 W CHESTNUT ST, Burlington, WI 53105

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
100 W CHESTNUT ST
BURLINGTON, WI 53105
Clinic/Center
100 W CHESTNUT ST
BURLINGTON, WI 53105
Acupuncturist
100 W CHESTNUT ST
BURLINGTON, WI 53105
Acupuncturist
100 W CHESTNUT ST
BURLINGTON, WI 53105
Chiropractor
100 W CHESTNUT ST
BURLINGTON, WI 53105

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Nickerson's NPI number?

The NPI number for Matthew Nickerson is 1043826290. It was assigned to this individual provider in the NPPES registry on September 22, 2020.

Where is Matthew Nickerson located?

Matthew Nickerson practices at 100 W Chestnut St, Burlington, WI 53105. The listed phone number is (414) 208-4323.

What is Matthew Nickerson's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Matthew Nickerson was last updated on September 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.