Individual provider · Type 1 NPI
Joseph Kenneth Fairley Iii, CP
Prosthetic/Orthotic Supplier · Saratoga Springs, NY
Practice location
480 Broadway Ste LL14
Saratoga Springs, NY 12866-6727
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | CP004468 |
Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
About NPI 1689389785
Joseph Kenneth Fairley Iii, CP's National Provider Identifier is 1689389785, issued on Jan 23, 2023. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Saratoga Springs, NY. The record was last updated on Jan 23, 2023.