Healthcare Provider Details
I. General information
NPI: 1437011293
Provider Name (Legal Business Name): AISLINN CARTY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 12/01/2025
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
121 BLAKE RD
ANNAPOLIS MD
21402-1300
US
IV. Provider business mailing address
244 S 8TH ST
PHILADELPHIA PA
19107-5726
US
V. Phone/Fax
- Phone: 410-293-7133
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2255A2300X |
| Taxonomy | Athletic Trainer |
| License Number | A0001870 |
| License Number State | MD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: