MEDICARE: CARTER DAVINO

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	225700000X	Massage Therapist	MO6923	MD

General Provider Information

NPI Number	:	1710832258
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARTER DAVINO

Provider Business Mailing Address
First Line	:	909 MARINE DR
Second Line	:
City	:	ANNAPOLIS
State	:	MD
Zip	:	21409-4745
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	747 ANNAPOLIS RD
Second Line	:
City	:	GAMBRILLS
State	:	MD
Zip	:	21054-1308
Country	:	US
Telephone Number	:	443-203-8810
Fax Number	:

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

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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Directions to “ CARTER DAVINO ” Practice Location

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