Provider Demographics
NPI:1699402776
Name:HAYES, SAMANTHA (PT, DPT)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
Last Name:HAYES
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:SAMANTHA
Other - Middle Name:L
Other - Last Name:BOSQUET
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SAMANTHA BOSQUET
Mailing Address - Street 1:37 WHEATON DR
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03063-2138
Mailing Address - Country:US
Mailing Address - Phone:603-582-0782
Mailing Address - Fax:
Practice Address - Street 1:29 KOSCIUSZKO ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03101-1624
Practice Address - Country:US
Practice Address - Phone:603-668-1106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-08
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH5031225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist