| Jonathan Dervetski, | |
|
1030 Oak Ridge Dr, Eau Claire, WI 54701-4564 | |
| (715) 456-6755 | |
| Not Available |
| Full Name | Jonathan Dervetski |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 1030 Oak Ridge Dr, Eau Claire, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821409418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 12319-146 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Dervetski, 1922 Woodland Ave, Eau Claire, WI 54701-4165 Ph: (715) 828-1008 | Jonathan Dervetski, 1030 Oak Ridge Dr, Eau Claire, WI 54701-4564 Ph: (715) 456-6755 |
Mr. Nathan Wade Schlieve, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 517 E Clairemont Ave, Eau Claire, WI 54701 Phone: 715-855-0408 Fax: 715-855-0409 | |
Mrs. Rebecca Irene Lindstrom, WCMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 4330 Golf Terrace, Suite 209, Eau Claire, WI 54701 Phone: 715-492-0326 | |
Shauna Hogenson, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 503 E Clairemont Ave, Eau Claire, WI 54701 Phone: 715-832-2223 Fax: 715-832-7416 | |
Brianna Steinmeyer, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 517 E Clairemont Ave, Eau Claire, WI 54701 Phone: 715-855-0408 | |
Kay Sopinski Peterson, WCMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 4330 Golf Ter, Suite 209, Eau Claire, WI 54701 Phone: 715-835-2746 | |
Mrs. Lacie Elizabeth Palmer, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 517 E Clairemont Ave, Eau Claire, WI 54701 Phone: 715-855-0408 Fax: 715-855-0409 | |
Jeanne Mullen, MT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 517 E Clairemont Ave, Eau Claire, WI 54701 Phone: 715-855-0408 Fax: 715-855-0409 |