Provider Demographics
NPI:1164974564
Name:CARLTON, KATHRYN (MS, LAT, ATC)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:CARLTON
Suffix:
Gender:F
Credentials:MS, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13801 WALSINGHAM RD # A177
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33774-3237
Mailing Address - Country:US
Mailing Address - Phone:925-588-4333
Mailing Address - Fax:
Practice Address - Street 1:13801 WALSINGHAM RD # A177
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33774-3237
Practice Address - Country:US
Practice Address - Phone:925-588-4333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-01
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer