Individual
MACKENZIE GAETANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
812 E CHURCH ST, MARTINSVILLE, VA 24112-3109
(276) 638-4809
Mailing address
812 E CHURCH ST, MARTINSVILLE, VA 24112-3109
(240) 561-0418
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305215849
VA
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2018
Last updated
08/11/2025
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