| Nicholas Uttecht, | |
|
153 S Main St, Shawano, WI 54166-2357 | |
| (715) 201-1081 | |
| (715) 350-6767 |
| Full Name | Nicholas Uttecht |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 153 S Main St, Shawano, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417839135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 17884-146 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Uttecht, 153 S Main St, Shawano, WI 54166-2357 Ph: (715) 201-1081 | Nicholas Uttecht, 153 S Main St, Shawano, WI 54166-2357 Ph: (715) 201-1081 |
Alexis Lillian Michonski, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 153 S Main St, Shawano, WI 54166 Phone: 715-201-1081 |
Melanie Jacobsen, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 153 S Main St, Shawano, WI 54166 Phone: 715-201-1081 |