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

Mrs. Samantha Patricia Bourassa, ATC, LAT

Individual provider Athletic Trainer · NPI 1245792910

Mrs. Samantha Patricia Bourassa, ATC, LAT is an Athletic Trainer in Post Falls, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2019
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

2832 E Poleline Ave
Post Falls, ID 83854
Phone: (208) 773-0581
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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 AT-436 (ID)

Record details

NPI number1245792910
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC , LAT
Sole proprietorYes
NPI enumeratedApril 2, 2019
Last updated in NPPESApril 2, 2019

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