Provider Demographics
NPI:1073657425
Name:TGETTIS, DONALD WAYNE (DC)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:WAYNE
Last Name:TGETTIS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:172 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923-2137
Mailing Address - Country:US
Mailing Address - Phone:978-777-2322
Mailing Address - Fax:
Practice Address - Street 1:9 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:GLOUCESTER
Practice Address - State:MA
Practice Address - Zip Code:01930-5909
Practice Address - Country:US
Practice Address - Phone:978-281-1615
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1865111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor