Sam Brosseau
Sam Brosseau is an Athletic Trainer in Moscow, Idaho. Practices as a sole proprietor. Licensed in Idaho.
- Licensed in
- ID
- In the registry since
- 2018
Practice location Address checks out
875 Perimeter Dr # MS 2401Moscow, ID 83844-9803
Phone: (206) 335-6098
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X (ID) |
|---|
Record details
| NPI number | 1427540731 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 1, 2018 |
| Last updated in NPPES | June 1, 2018 |
| Mailing address | 13022 15th Ave Ne, Seattle, WA 98125-4017 |
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