Provider Demographics
NPI:1275144354
Name:PAQUETTE, TAYLOR A (DPT)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:A
Last Name:PAQUETTE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:TAYLOR
Other - Middle Name:A
Other - Last Name:FORTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:614 LACONIA RD
Mailing Address - Street 2:
Mailing Address - City:TILTON
Mailing Address - State:NH
Mailing Address - Zip Code:03276-5343
Mailing Address - Country:US
Mailing Address - Phone:603-717-7010
Mailing Address - Fax:
Practice Address - Street 1:614 LACONIA RD
Practice Address - Street 2:
Practice Address - City:TILTON
Practice Address - State:NH
Practice Address - Zip Code:03276-5343
Practice Address - Country:US
Practice Address - Phone:603-717-7010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-12
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH4681225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist