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MRS. SAMANTHA PATRICIA BOURASSA ATC, LAT
NPI 1245792910
Specialist/Technologist - Athletic Trainer in Post Falls, ID

Active since April 02, 2019
2832 E POLELINE AVE, POST FALLS, ID 83854(208) 773-0581 Get Directions Write a Review

NPPES record last updated: April 2, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Samantha Patricia Bourassa Atc, Lat NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SAMANTHA PATRICIA BOURASSA ATC, LAT (NPI 1245792910) is an individual athletic trainer provider in Post Falls, Idaho, licensed in Idaho (AT-436) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1245792910
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameMRS. SAMANTHA PATRICIA BOURASSACredential: ATC, LAT
Location Address2832 E POLELINE AVEPost Falls, ID 83854
Mailing Address1852 Dipper LoopPost Falls, ID 83854-5647 · (406) 899-3757
Phone(208) 773-0581
Sole ProprietorYes
Enumeration DateApril 2, 2019
✔ NPI 1245792910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in ID · AT-436
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
2832 E POLELINE AVE, Post Falls, ID 83854
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Bourassa's NPI number?

The NPI number for Samantha Bourassa is 1245792910. It was assigned to this individual provider in the NPPES registry on April 2, 2019.

Where is Samantha Bourassa located?

Samantha Bourassa practices at 2832 E Poleline Ave, Post Falls, ID 83854. The listed phone number is (208) 773-0581.

What is Samantha Bourassa's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Samantha Bourassa was last updated on April 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.