Individual provider · Type 1 NPI

Taylor Caroline Russo, MS ATC LAT

Athletic Trainer · Boise, ID

NPI number 1972219582 Active

Practice location

2619 W Fairview Ave
Boise, ID 83702-6722

Call (208) 706-9419 Map

Mailing address

6547 S Fairwind Pl
Boise, ID 83709-5064

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XAT7609 (TX)
Athletic Trainer Primary 2255A2300X2000023679

Athletic Trainer: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanc…

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About NPI 1972219582

Taylor Caroline Russo, MS ATC LAT's National Provider Identifier is 1972219582, issued on Jan 26, 2023. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in Boise, ID. The record was last updated on Apr 29, 2026.