Jack Archer Blackburn in Seattle - Massage Therapist

Jack Archer Blackburn - NPI 1437273570

Jack Archer Blackburn is a Massage Therapist in Seattle, Washington. Jack Archer Blackburn practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Jack Archer Blackburn is 1437273570. The last update date is 2007-07-08.

Jack Archer Blackburn's current location address is 5762 27th Ave Ne, Seattle, Washington. You can contact this provider via phone number 2065270908. The mailing address for Jack Archer Blackburn is 5762 27th Ave Ne, Seattle, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Jack Archer Blackburn
Address 5762 27th Ave Ne, Seattle, Washington
Phone Number 2065270908
Fax Number
Sole Proprietor Y
Credentials LMP

NPI Number Detail

NPI Number 1437273570
Provider Enumeration Date 2007-03-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5762 27th Ave Ne
City Seattle
State Washington (WA)
Post Code 981055512
Phone Number 2065270908
Fax Number

Provider's Primary Taxonomy Detail

Speciality Massage Therapist
Taxonomy 225700000X
Licence No 242-01-00034
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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FAQs about Jack Archer Blackburn

What is the Jack Archer Blackburn's unique identification number?

The Jack Archer Blackburn has been assigned the NPI (National Provider Identifier) Number 1437273570 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Jack Archer Blackburn's physical address?

The Jack Archer Blackburn is physically located at 5762 27Th Ave Ne, in the city of Seattle, WA, with the postal code 981055512.

What is the area of specialization for Jack Archer Blackburn, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jack Archer Blackburn is Massage Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225700000X.

On what date did the Jack Archer Blackburn receive its 1437273570 assignment from the Centers for Medicare & Medicaid Services?

The Jack Archer Blackburn was assigned its 1437273570 by the Centers for Medicare & Medicaid Services on 2007-03-16.

As of what date was the information pertaining to Jack Archer Blackburn, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jack Archer Blackburn, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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