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Mr. Jack Archer Blackburn, LMP
Massage Therapist in Seattle, Washington
NPI 1437273570

Jack Archer Blackburn is a Massage Therapist based in Seattle, WA. Jack Archer Blackburn practices in Seattle, WA and has the professional credentials of LMP. The NPI Number for Jack Archer Blackburn is 1437273570 and holds a License No. 242-01-0003420 (Washington).

The current practice location address for Jack Archer Blackburn is 5762 27Th Ave Ne, Seattle, WA and can be reached out via phone at 206-527-0908.

Location: 5762 27Th Ave Ne, Seattle, WA, 98105-5512
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437273570
Provider Name
Jack Archer Blackburn
Credential
LMP
Provider Entity Type
Individual
Gender
Male
Address
5762 27Th Ave Ne, Seattle, WA, 98105-5512
Phone Number
206-527-0908
Fax Number
Provider Enumeration Date
03/16/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5762 27Th Ave Ne
City
Seattle
State
Washington
Zip
98105-5512
Phone Number
206-527-0908
Fax Number
person
Provider Business Mailing Address Details
Address
5762 27Th Ave Ne
City
Seattle
State
Washington
Zip
98105-5512
Phone Number
206-527-0908
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
242-01-0003420 (Washington)
Definition
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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