Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bradley Larosa, ATC

Individual provider Athletic Trainer · NPI 1295799351

Bradley Larosa, ATC is an Athletic Trainer in Springfield, Missouri. Licensed in Illinois and Missouri. Registered with an NPI since 2006.

Licensed in
IL, MO
In the registry since
2006
Specialties on file
2
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

955 E Trafficway St
Springfield, MO 65802-3671
Phone: (618) 830-7511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 20003027559 (MO)
Athletic Trainer Taxonomy 2255A2300X · Licence 96001870 (IL)

Record details

NPI number1295799351
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedApril 14, 2006
Last updated in NPPESJuly 13, 2026
Mailing address1110 Rucker Ln, Staunton, IL 62088-4175

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