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

Nevin Grossnickle, CERTIFIEDMASSAGETH

Individual provider Massage Therapist · NPI 1467861328

Nevin Grossnickle, CERTIFIEDMASSAGETH is a Massage Therapist in Wausau, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2014
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Practice location Address checks out

319 4th Street Ll
Wausau, WI 54403 Not confirmed with CMS for 12 years — call before visiting
Phone: (715) 693-6095
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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 10444-146 (WI)

Record details

NPI number1467861328
Entity typeIndividual (Type 1)
GenderMale
Credentials CERTIFIEDMASSAGETH
Sole proprietorYes
NPI enumeratedAugust 5, 2014
Last updated in NPPESAugust 7, 2014

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