Individual provider · Type 1 NPI

Ashay Blakely, HAIRLOSS PRACTITION

Prosthetic/Orthotic Supplier · Irmo, SC

NPI number 1861131385 Active

Practice location

107 N Royal Tower Dr Ste I
Irmo, SC 29063-2782

Mailing address

112 Sonning Rd
Irmo, SC 29063-2507

Specialties and licenses

TaxonomyCodeLicense
Prosthetist 224P00000XNone listed
Orthotic Fitter 225000000XNone listed
Other Specialist/Technologist 246Z00000XNone listed
Prosthetic/Orthotic Supplier Primary 335E00000XNone listed

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.

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About NPI 1861131385

Ashay Blakely, HAIRLOSS PRACTITION's National Provider Identifier is 1861131385, issued on Jun 2, 2022. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Irmo, SC. The record was last updated on Jun 2, 2022.