Individual provider · Type 1 NPI

Jacqueline Amara Ellen Blackmore

Massage Therapist · Seattle, WA

NPI number 1790483980 Active

Practice location

2377 Eastlake Ave E
Seattle, WA 98102-3390

Call (206) 914-3580 Map

Mailing address

507 21st Ave Unit B
Seattle, WA 98122-6184

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA61214900 (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 1790483980

Jacqueline Amara Ellen Blackmore's National Provider Identifier is 1790483980, issued on Feb 17, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Seattle, WA. The record was last updated on Feb 17, 2023.