NPI age
3 years
Enumerated 2023-01-26
● Active
Type 1 · Individual
MISS Taylor Caroline Russo, MS ATC LAT
Russo is 1 of 94 specialist/technologist providers in Boise and 1 of 326 in Idaho.
Primary specialty
Specialist/Technologist
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-04-29
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 326 active specialist/technologist providers in Idaho.
NPI age
3 years
↓ 5 yr below median (8 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties
NPI lifetime · 2023 → 2026
2023-01Enumerated in NPPES
2023
2026
Where they practice
Practice location
2619 W Fairview Ave
Boise, ID 837026722
Mailing address
6547 S Fairwind Pl
Boise, ID 837095064
Specialties
-
Specialist/Technologist PrimaryAthletic 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,...
Practice context
Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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