MRS. SAMANTHA PATRICIA BOURASSA


Address: 2832 E Poleline Ave, Post Falls, ID 83854
Phone: 2087730581

MRS. SAMANTHA PATRICIA BOURASSA (NPI# 1245792910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245792910
Entity Type Individual
Full Name MRS. SAMANTHA PATRICIA BOURASSA
Credential ATC, LAT
Practice Address 2832 E Poleline Ave
Post Falls
ID 83854
Mailing Address 1852 Dipper Loop
Post Falls
ID 83854-5647
Practice Telephone 2087730581
Mailing Telephone 4068993757
Enumeration Date 2019-04-02
Last Update Date 2019-04-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
AT-436 ID Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 2832 E POLELINE AVE
City POST FALLS
State ID
Zip Code 83854

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487264032 Esteem Counseling, LLC Counselor 1404 North Marcasite Court, Post Falls, ID 83854 2020-08-07
1497376685 Teresa Marie Ragan Registered Nurse 1551 E Mullan Ave Bldg A, Ste 200b, Post Falls, ID 83854 2020-04-29
1003392598 Joshua Welz Psychologist 3211 N Guinness Ln Apt 201, Post Falls, ID 83854 2018-07-17
1639608094 Anthony Leodis Walls Jr. Specialist/Technologist 8732 N Meyer Rd, Post Falls, ID 83854 2017-06-08
1831635911 Glenda Felts Social Worker 8561 N Cloverleaf Rd, # 22, Hauser, ID 83854 2017-01-12
1144763467 Rachel M. Pope Behavioral Analyst 204 E 1st Ave Apt 4, Post Falls, ID 83854 2016-11-18
1871960393 Randy Robinson Massage Therapist 2525 E Seltice Way Ste C, Post Falls, ID 83854 2015-09-01
1194112375 James Bailey Family Medicine 185 W 4th Ave Ste B, Post Falls, ID 83854 2015-04-24
1033534953 Lauren Tandy Speech-Language Pathologist 398 S. Corbin Rd., Post Falls, ID 83854 2014-02-28
1871929521 Arlene Katherine Jarmolowicz Massage Therapist 640 N. Thornton St., Post Falls, ID 83854 2013-09-25
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy 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.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073131629 Shaelynn Meek Specialist/Technologist 1350 E Warm Springs Ave, Post Falls, ID 83854-9693 2020-07-09
1639608094 Anthony Leodis Walls Jr. Specialist/Technologist 8732 N Meyer Rd, Post Falls, ID 83854 2017-06-08
1558499897 Jeanean M Rasmussen Specialist/Technologist 1641 E Polston Ave, Suite 101, Post Falls, ID 83854-7852 2007-02-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1063030237 Brandon Garfield Specialist/Technologist 3287 W Twin Rd, Moscow, ID 83843-8130 2020-07-14
1831717040 Anna Richter Specialist/Technologist 1946 W Janet Ct, Eagle, ID 83616-3757 2020-07-14
1811515067 Lexis Fouts Specialist/Technologist 617 W Taylor Ave # A, Moscow, ID 83843-2411 2020-07-13
1063039204 Jadelyn Taylor Eisele Specialist/Technologist 707 Railroad St Apt 4, Moscow, ID 83843-2381 2020-07-04
1366069593 Tyler Hempfling Volkmann Specialist/Technologist 924 Indian Hills Dr, Moscow, ID 83843-5096 2020-07-03
1174149389 Santiago A Segura Barron Specialist/Technologist Holt Arena 550 Memorial Drive Building 50, Pocatello, ID 83209-0001 2020-06-23
1942824545 Maya S Gough Specialist/Technologist 10284 W Virginia City St, Star, ID 83669-5619 2020-05-31
1013531680 Dalton Tanner Pitts Specialist/Technologist 1433 W A St, Moscow, ID 83843-3274 2020-05-29
1083238646 Shyla Marie Flavel Specialist/Technologist 1022 W Recess Way, Kuna, ID 83634-2459 2020-05-29
1528680568 David Book Specialist/Technologist 1707 N 26th St, Boise, ID 83702-0112 2020-05-13
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Competitor

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City POST FALLS
Zip Code 83854

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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