Ethan Blalock

NPI 1760336861 · on the registry since 2026

Practice

Address: 1601 2nd Ave N Fl 5
Great Falls, MT 59401
Phone: (406) 315-1228
Organisation at this address: Brooks Corp
Living Life Llc
Montana Therapy
Cheryl A. Basta
Living Life, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 97

Registry record

Primary taxonomy: 225700000X
225700000X
Licence states on file: MT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-02-25

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 Montana