Individual provider · Type 1 NPI

Jonathan Dervetski

Massage Therapist · Eau Claire, WI

NPI number 1821409418 Active

Practice location

1030 Oak Ridge Dr
Eau Claire, WI 54701-4564

Call (715) 456-6755 Map

Mailing address

1922 Woodland Ave
Eau Claire, WI 54701-4165

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X12319-146 (WI)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1821409418

Jonathan Dervetski's National Provider Identifier is 1821409418, issued on May 16, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Eau Claire, WI. The record was last updated on May 16, 2014.