Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN DERVETSKI
Active Sole ProprietorJONATHAN DERVETSKI is a Massage Therapist healthcare provider located in EAU CLAIRE, Wisconsin. NPI 1821409418 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · EAU CLAIRE, WI
Registration Details
- NPI Number
- 1821409418
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 16, 2014 (12.278481480068 yrs)
- Last Updated
- May 16, 2014
- License
-
12319-146 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1030 OAK RIDGE DREAU CLAIRE, WI, 547014564Browse WI providers · Browse ZIP 54701
- Phone
- 7154566755
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in EAU CLAIRE, WI
| Name | Credential | NPI |
|---|---|---|
| MRS. JOAN MARIE HAMILTON | WCMT | 1982770186 |
| MR. DAVID DEAN ROBINSON | CMT | 1417097601 |
| SUZANNE MARIE PETERSHARTWIG | MASSAGE THERAPIST | 1245409762 |
| ERIC D WILLMARTH | CMT | 1144471194 |
| MRS. REBECCA IRENE LINDSTROM | WCMT | 1023254034 |
| STEPHANIE KAY PETERSON | — | 1427280882 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.