Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Brock Zachery Carroll, LMT

Individual provider Massage Therapist · NPI 1427588748

Mr. Brock Zachery Carroll, LMT is a Massage Therapist in Puyallup, Washington. Practices as a sole proprietor and works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2017
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

10614 Canyon Rd E
Puyallup, WA 98373-4257
Phone: (253) 535-6006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10614 Canyon Rd, Puyallup, WA 98373 — (253) 535-6006

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 60745705 (WA)

Record details

NPI number1427588748
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedJune 19, 2017
Last updated in NPPESMarch 17, 2018

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