Healthcare Provider Details

I. General information

NPI: 1386550705
Provider Name (Legal Business Name): REID CLAYTON GETIC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6001 UNIVERSITY BLVD
MOON TOWNSHIP PA
15108-2574
US

IV. Provider business mailing address

14 RED HAWK DR
SHIPPENSBURG PA
17257-8250
US

V. Phone/Fax

Practice location:
  • Phone: 717-372-3322
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: