MEDICARE: KATHRYN CARLTON MS, LAT, ATC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer

General Provider Information

NPI Number	:	1164974564
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN CARLTON MS, LAT, ATC

Provider Business Mailing Address
First Line	:	13801 WALSINGHAM RD # A177
Second Line	:
City	:	LARGO
State	:	FL
Zip	:	33774-3237
Country	:	US
Telephone Number	:	925-588-4333
Fax Number	:

Provider Business Practice Location Address
First Line	:	13801 WALSINGHAM RD # A177
Second Line	:
City	:	LARGO
State	:	FL
Zip	:	33774-3237
Country	:	US
Telephone Number	:	925-588-4333
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2016
Last Update Date	:	08/13/2025

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