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JONATHAN DERVETSKI
NPI 1821409418
Massage Therapist in Eau Claire, WI

Active since May 16, 2014
1030 OAK RIDGE DR, EAU CLAIRE, WI 54701(715) 456-6755 Get Directions Write a Review

NPPES record last updated: May 16, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jonathan Dervetski NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN DERVETSKI (NPI 1821409418) is an individual massage therapist in Eau Claire, Wisconsin, licensed in Wisconsin (12319-146) and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1821409418
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameJONATHAN DERVETSKI
Location Address1030 OAK RIDGE DREau Claire, WI 54701-4564
Mailing Address1922 Woodland AveEau Claire, WI 54701-4165 · (715) 828-1008
Phone(715) 456-6755
Sole ProprietorYes
Enumeration DateMay 16, 2014
✔ NPI 1821409418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in WI · 12319-146
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.

1030 OAK RIDGE DR, Eau Claire, WI 54701
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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRIAN A STRESS PSYD
Psychologist
1030 OAK RIDGE DR
EAU CLAIRE, WI 54701
Eau Claire County (715) 833-7111
NICOLE L MYERS M.S.
Counselor (Professional)
1030 OAK RIDGE DR
EAU CLAIRE, WI 54701
Eau Claire County (715) 833-7111
DR. STEVEN D STENZEL M.D.
Obstetrics & Gynecology (Gynecology)
1030 OAK RIDGE DR
EAU CLAIRE, WI 54701
Eau Claire County (715) 861-6100
BARBARA K HEBERT LCSW
Social Worker (Clinical)
1030 OAK RIDGE DR
EAU CLAIRE, WI 54701
Eau Claire County (715) 833-7111
SCOLIOSIS CENTER OF WISCONSIN
Clinic/Center (Health Service)
1030 OAK RIDGE DR, SUITE D
EAU CLAIRE, WI 54701
Eau Claire County (715) 838-0827
DR STRESS & ASSOCIATES LLC
Psychologist (Clinical)
1030 OAK RIDGE DR
EAU CLAIRE, WI 54701
Eau Claire County (715) 833-7111
CYNTHIA K MCMILLAN LCSW
Social Worker (Clinical)
1030 OAK RIDGE DR
EAU CLAIRE, WI 54701
Eau Claire County (715) 833-7111
STENZEL CLINIC FOR WOMEN'S HEALTH, S.C.
Exclusive Provider Organization
1030 OAK RIDGE DR
EAU CLAIRE, WI 54701
Eau Claire County (715) 831-6100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Dervetski's NPI number?

The NPI number for Jonathan Dervetski is 1821409418. It was assigned to this individual provider in the NPPES registry on May 16, 2014.

Where is Jonathan Dervetski located?

Jonathan Dervetski practices at 1030 Oak Ridge Dr, Eau Claire, WI 54701. The listed phone number is (715) 456-6755.

What is Jonathan Dervetski's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Jonathan Dervetski was last updated on May 16, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.