Individual
NICHOLAS O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMT, LMT
Contact information
Practice address
2121 E 5TH ST, SUPERIOR, WI 54880-3610
(715) 398-6679
Mailing address
1821 1/2 WISCONSIN AVE, SUPERIOR, WI 54880-2023
(218) 390-6579
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17769-146
WI
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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