Individual
ETHAN BLALOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1601 2ND AVE N FL 5, GREAT FALLS, MT 59401-3259
(406) 315-1228
Mailing address
3805 7TH ST NE TRLR 170, GREAT FALLS, MT 59404-1179
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-LMT-LIC-32009
MT
Other
Enumeration date
02/25/2026
Last updated
02/25/2026
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