Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SAMANTHA PATRICIA BOURASSA, ATC, LAT
Active Sole ProprietorMRS. SAMANTHA PATRICIA BOURASSA, ATC, LAT is a Athletic Trainer healthcare provider located in POST FALLS, Idaho. NPI 1245792910 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · POST FALLS, ID
Registration Details
- NPI Number
- 1245792910
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 2, 2019 (7.3265392686858 yrs)
- Last Updated
- Apr 2, 2019
- License
-
AT-436 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2832 E POLELINE AVEPOST FALLS, ID, 83854Browse ID providers · Browse ZIP 83854
- Phone
- 2087730581
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in POST FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| ANTHONY LEODIS WALLS JR. | — | 1639608094 |
| SHAELYNN MEEK | ATC | 1073131629 |
| MADISON WALKER | ATC | 1790537363 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.