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Ethan Blagg, LMT
NPI 1730533357 · on the registry since 2016 · sole proprietor
Practice
- Address
- 5315 Aubrey Way
Colorado Springs, CO 80919 - Phone
- (719) 233-8576
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-04-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado