Individual
NICHOLAS UTTECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
153 S MAIN ST, SHAWANO, WI 54166-2357
(715) 201-1081
(715) 350-6767
Mailing address
153 S MAIN ST, SHAWANO, WI 54166-2357
(715) 201-1081
(715) 350-6767
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17884-146
WI
Other
Enumeration date
07/23/2025
Last updated
07/23/2025
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