person
Jonathan Dervetski
Massage Therapist in Eau Claire, Wisconsin
NPI 1821409418

Jonathan Dervetski is a Massage Therapist based in Eau Claire, WI. Jonathan Dervetski practices in Eau Claire, WI. The NPI Number for Jonathan Dervetski is 1821409418 and holds a License No. 12319-146 (Wisconsin).

The current practice location address for Jonathan Dervetski is 1030 Oak Ridge Dr, Eau Claire, WI and can be reached out via phone at 715-456-6755.

Location: 1030 Oak Ridge Dr, Eau Claire, WI, 54701-4165
person
Provider Profile Details
NPI Number
1821409418
Provider Name
Jonathan Dervetski
Credential
Provider Entity Type
Individual
Gender
Male
Address
1030 Oak Ridge Dr, Eau Claire, WI, 54701-4165
Phone Number
715-456-6755
Fax Number
Provider Enumeration Date
05/16/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1030 Oak Ridge Dr
City
State
Zip
54701-4564
Phone Number
715-456-6755
Fax Number
person
Provider Business Mailing Address Details
Address
1030 Oak Ridge Dr
City
State
Zip
54701-4564
Phone Number
715-456-6755
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
12319-146 (Wisconsin)
Definition
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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