Jonathan Dervetski

NPI 1821409418 · on the registry since 2014 · sole proprietor

Practice

Address: 1030 Oak Ridge Dr
Eau Claire, WI 54701
Phone: (715) 456-6755
Organisation at this address: Nordic Care, Llc
Dr Stress & Associates Llc
Scoliosis Center Of Wisconsin
Stenzel Clinic For Women'S Health, S.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: Massage Therapist
225700000X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-05-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin