Nicholas O'connell, CMT, LMT is a
Massage Therapist based in Superior, Wisconsin. Nicholas O'connell is licensed to practice in Wisconsin (license number 17769-146) and his current practice location is
2121 E 5th St, Superior, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(715) 398-6679.
NPI number for Nicholas O'connell is 1659177798 and his current mailing address is 1821 1/2 Wisconsin Ave, Superior, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1659177798.
Healthcare Provider's Profile
| Full Name | Nicholas O'connell |
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| Gender | Male |
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| Speciality | Massage Therapist |
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| Location | 2121 E 5th St, Superior, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1659177798
- Provider Enumeration Date: 02/20/2025
- Last Update Date: 02/20/2025
Medical Identifiers
Medical identifiers for Nicholas O'connell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1659177798 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225700000X | Massage Therapist | 17769-146 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicholas O'connell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Nicholas O'connell, CMT, LMT 1821 1/2 Wisconsin Ave, Superior, WI 54880-2023 Ph: (218) 390-6579 | Nicholas O'connell, CMT, LMT 2121 E 5th St, Superior, WI 54880-3610 Ph: (715) 398-6679 |
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