Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Matthew Nickerson, LMT

Individual provider Massage Therapist · NPI 1043826290

Matthew Nickerson, LMT is a Massage Therapist in Burlington, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2020
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

100 W Chestnut St
Burlington, WI 53105-1203
Phone: (414) 208-4323
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 15019-146 (WI)

Record details

NPI number1043826290
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedSeptember 22, 2020
Last updated in NPPESSeptember 22, 2020
Certification dateSeptember 22, 2020
Mailing address536 E Dover St, Milwaukee, WI 53207-2106

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