ETHAN BLAGG

COLORADO SPRINGS, CO
NPI1730533357
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: CO  MT.0018822)
Enumeration Date2016-04-20
Last Update Date2016-04-20
Business Address
-- ETHAN BLAGG LMT
5315 AUBREY WAY
COLORADO SPRINGS, CO 80919-3500
Phone number: 719-233-8576
Mailing Address
-- ETHAN BLAGG LMT
5315 AUBREY WAY
COLORADO SPRINGS, CO 80919-3500
Phone number: 719-233-8576
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