Sam Brosseau Valid NPI

Individual provider · Athletic Trainer · Moscow, ID

NPI

1427540731

Type

Individual (Type 1)

Primary specialty

Athletic Trainer (Specialist/Technologist)

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

2255A2300X

Sex

Male

Sole proprietor

Yes

Enumerated

2018-06-01

Last updated

2018-06-01