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

Individual provider Specialist · NPI 1356566731

Wanda Carroll, PTA, LMT, CNA is a Specialist in Severna Park, Maryland. Licensed in Maryland. Registered with an NPI since 2007.

Licensed in
MD
In the registry since
2007
Specialties on file
5
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

839 Cottonwood Dr
Severna Park, MD 21146-2836
Phone: (443) 986-2959
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence A3443 (MD)
Specialist Taxonomy 174400000X · Licence M00487 (MD)
Massage Therapist Taxonomy 225700000X · Licence M00487 (MD)
Home Health Aide Taxonomy 374U00000X · Licence A00010416 (MD)
Nurse's Aide Taxonomy 376K00000X · Licence A00010416 (MD)

Record details

NPI number1356566731
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA , LMT , CNA
Sole proprietorNo
NPI enumeratedApril 13, 2007
Last updated in NPPESJune 9, 2015

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