Jonathan Dervetski
Jonathan Dervetski is a Massage Therapist in Eau Claire, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.
- Licensed in
- WI
- In the registry since
- 2014
Practice location Address checks out
1030 Oak Ridge DrEau Claire, WI 54701-4564
Phone: (715) 456-6755
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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 12319-146 (WI) |
|---|
Record details
| NPI number | 1821409418 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 16, 2014 |
| Last updated in NPPES | May 16, 2014 |
| Mailing address | 1922 Woodland Ave, Eau Claire, WI 54701-4165 |
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