Jacobe James Blake, LMP
Individual provider Active NPI Massage Therapist · Sequim, WA
NPI 1396429338 · NPPES record last updated Jun 12, 2023
Key facts
- NPI
- 1396429338
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MA61367040 (WA)
- Practice address
- 532 N 5TH Ave
Sequim, WA 98382-3185 - Phone
- (360) 683-7911
- Fax
- (360) 683-3981
- NPI assigned
- Jun 12, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA61367040 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sorensen Chiropractic LLC | Current |
Accepting new patients |
Locations
532 N 5th Ave
Sequim, WA 98382
Phone (360) 683-7911
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA61367040 | WA | Yes |
Addresses
Primary practice location
532 N 5TH Ave
Sequim, WA 98382-3185
Mailing address
532 N 5TH Ave
Sequim, WA 98382-3185
Phone (360) 683-7911
Other providers in Sequim, WA
- Daniel Wyatt Bigger
- Brenda Jean Billmark
- Martin T Bishop
- Sherry A Bishop
- Sonja Ann Bittner
- Megan Elizabeth Bland
- Brandie Blankenbaker
- Douglas G Blessington
- Chad C Boehm
- Molly Rhea Booth
All providers in Sequim, WA · Massage Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.