MELISSA RUSSO NPI 1639610900

NPI Information

  • NPI: 1639610900
  • Provider Name: MELISSA RUSSO
  • Classification: Rehabilitation Practitioner - 225400000X
  • Entity Type: Individual
  • Address: 2936 2ND ST
    WAYLAND, MI
    ZIP 49348
  • Phone: (616) 862-8553

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NPI Details

Melissa Russo is a rehabilitation practitioner in Wayland, MI. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. Melissa Russo NPI is 1639610900. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2936 2ND ST
WAYLAND, MI
ZIP 49348-518
Phone: (616) 862-8553

The enumeration date for this NPI number is 3/20/2017 and was last updated on 3/20/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225400000XRehabilitation PractitionerYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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