Provider Demographics
NPI:1255900429
Name:CARNAGHI, KATHERINE (MS, LAT, ATC)
Entity type:Individual
Prefix:MISS
First Name:KATHERINE
Middle Name:
Last Name:CARNAGHI
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 1:1303 WEST ST
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-3611
Mailing Address - Country:US
Mailing Address - Phone:540-422-5959
Mailing Address - Fax:
Practice Address - Street 1:280 WAINWRIGHT DR
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21402
Practice Address - Country:US
Practice Address - Phone:410-293-5844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-22
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL71352255A2300X
VA01260038112255A2300X
MDA00017122255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer