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Samantha Bourassa, ATC, LAT
NPI 1245792910 · on the registry since 2019 · sole proprietor
Practice
- Address
- 2832 E Poleline Ave
Post Falls, ID 83854 - Phone
- (208) 773-0581
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-04-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho