Provider Demographics
NPI:1225268428
Name:PAQUET, MARC SCOTT (ATC)
Entity Type:Individual
Prefix:
First Name:MARC
Middle Name:SCOTT
Last Name:PAQUET
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 BARRETT ST APT 3112
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-1714
Mailing Address - Country:US
Mailing Address - Phone:207-671-8828
Mailing Address - Fax:
Practice Address - Street 1:200 COMMONWEALTH AVE
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01003-9254
Practice Address - Country:US
Practice Address - Phone:413-545-9675
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer