Jonathan Dervetski

  • NPI 1821409418
According to our database, the NPI number for Jonathan Dervetski is 1821409418 and activated since 9 years ago. Jonathan Dervetski is an individual provider who specializes in Massage Therapist, and the primary practice location is 1030 Oak Ridge Dr, Eau Claire, WI 54701. You can also contact Jonathan Dervetski via telephone number is (715) 456-6755. Provider NPI information was last updated on 05/16/2014.

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Overview of Jonathan Dervetski

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 05/16/2014
  • Last updated: 05/16/2014

Primary Scrop of Practice

  • Taxonomy Code: 225700000X
  • Specialty: Massage Therapist
  • License Number: 12319-146
  • License State: WI

Provider Mailing Address

  • Address: 1922 Woodland Ave
    Eau Claire, WI 54701
  • Phone: 715-828-1008
  • Fax:

Provider Practice Location

  • Address: 1030 Oak Ridge Dr
    Eau Claire, WI 54701
  • Phone: 715-456-6755
  • Fax:

Scope of Practice

  • Taxonomy Code: 225700000X
  • Specialty: Massage Therapist
  • License Number: 12319-146
  • License State: WI
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jonathan Dervetski?
  • A: The npi number for Jonathan Dervetski is 1821409418.
  • Q: What are Jonathan Dervetski's specialties?
  • A: Jonathan Dervetski's specialties are Massage Therapist and different specialities.
  • Q: What is the medical license for Jonathan Dervetski?
  • A: The medical license number for Jonathan Dervetski is 12319-146 and issued in WI in USA.
  • Q: Where is Jonathan Dervetski practice location?
  • A: Jonathan Dervetski is practicing at 1030 Oak Ridge Dr, Eau Claire, WI 54701.
  • Q: How to contact Jonathan Dervetski?
  • A: You can contact Jonathan Dervetski via 715-456-6755.