Individual
KELLY A PAQUET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1720 ABBEY RD, STE. A, EAST LANSING, MI 48823-6363
(517) 333-6692
Mailing address
8900 ALWARD RD, LAINGSBURG, MI 48848-9244
(517) 651-7223
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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