IndividualActive
Casey Jestrovich, CNIM, R. EEG T
NPI 1538635982 · Electroneurodiagnostic Specialist/Technologist · Grand Junction, CO
Provider details
- NPI number
- 1538635982
- Entity type
- Individual
- Primary specialty
- Electroneurodiagnostic Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- CNIM, R. EEG T
- Sex
- Male
- Sole proprietor
- No
- License
- 99-187-0511 (CO)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
2318 Hall Ave
Grand Junction, CO 81501-6234
Phone: (303) 886-6641
Approximate (ZIP-level) locationGet directions
Mailing address
2318 Hall Ave
Grand Junction, CO 81501-6234
Registry dates
- Enumerated
- 2018-10-23
- Last updated
- 2018-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.