Individual provider · Type 1 NPI
Paul David Blakeley, CPO FAAOP
Prosthetist · Spartanburg, SC
NPI number
1104997907
Active
Practice location
102 Willow Lane
Spartanburg, SC 29307-1343
Fax (864) 573-6717
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthotist | 222Z00000X | None listed |
| Prosthetist Primary | 224P00000X | None listed |
Prosthetist: A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
Another provider at this address
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About NPI 1104997907
Paul David Blakeley, CPO FAAOP's National Provider Identifier is 1104997907, issued on Nov 13, 2006. The primary taxonomy on file is Prosthetist (224P00000X), and the practice location is in Spartanburg, SC. The record was last updated on Sep 11, 2025.