Mackenzie Gaetano, PT, DPT
Physical Therapist in Martinsville, VA. Individual provider (NPI-1).
NPI number1982192175
StatusActive
Last updated in NPPESAug 11, 2025
Details
- NPI
- 1982192175
- Entity type
- Individual (NPI-1)
- Name
- Mackenzie Gaetano
- Credential
- PT, DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 24, 2018
- Certification date
- Aug 11, 2025
- Last updated
- Aug 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 2305215849 | VA | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
812 E Church StMartinsville, VA 24112-3109
Phone 276-638-4809
Mailing address
812 E Church StMartinsville, VA 24112-3109
Phone 240-561-0418
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All 33 Physical Therapist providers in Martinsville · All 826 providers in Martinsville
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