Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacqueline Amara Ellen Blackmore

Individual provider Massage Therapist · NPI 1790483980

Jacqueline Amara Ellen Blackmore is a Massage Therapist in Seattle, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2023
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Practice location Address checks out

2377 Eastlake Ave E
Seattle, WA 98102-3390
Phone: (206) 914-3580
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MA61214900 (WA)

Record details

NPI number1790483980
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 17, 2023
Last updated in NPPESFebruary 17, 2023
Certification dateFebruary 16, 2023
Mailing address507 21st Ave Unit B, Seattle, WA 98122-6184

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