Individual provider · Type 1 NPI

Jack Archer Blackburn, LMP

Massage Therapist · Seattle, WA

NPI number 1437273570 Active

Practice location

5762 27th Ave NE
Seattle, WA 98105-5512

Call (206) 527-0908 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X242-01-0003420 (WA)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1437273570

Jack Archer Blackburn, LMP's National Provider Identifier is 1437273570, issued on Mar 16, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Seattle, WA. The record was last updated on Jul 8, 2007.