IndividualActive
Amanda Paquette, PTA
NPI 1730907676 · Physical Therapy Assistant · Appleton, WI
Provider details
- NPI number
- 1730907676
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 2719-19 (WI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1101 E South River St
Appleton, WI 54915-2223
Phone: (920) 830-9911
Approximate (ZIP-level) locationGet directions
Mailing address
6515 Gina Ln
Deforest, WI 53532-2434
Registry dates
- Enumerated
- 2024-09-30
- Last updated
- 2024-09-30
- Certified
- 2024-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.