Individual
SAMANTHA LAROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32 CAMPUS DR MISSOULA MT 59812, MISSOULA, MT 59812-0001
(140) 624-3535
Mailing address
614 N 3RD ST W APT 302, MISSOULA, MT 59802-3132
(208) 830-9661
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MT
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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