Provider Demographics
NPI:1376969998
Name:GETZKE, REBECCA JEAN (DC)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:JEAN
Last Name:GETZKE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 CLAREMONT GDNS
Mailing Address - Street 2:
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562-3334
Mailing Address - Country:US
Mailing Address - Phone:201-746-6577
Mailing Address - Fax:201-746-6576
Practice Address - Street 1:2 S KINDERKAMACK RD
Practice Address - Street 2:201
Practice Address - City:MONTVALE
Practice Address - State:NJ
Practice Address - Zip Code:07645-2168
Practice Address - Country:US
Practice Address - Phone:201-746-6577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-06
Last Update Date:2014-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00713600111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor