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Mr. Paul David Blakeley, CPOFAAOP
Prosthetist in Spartanburg, South Carolina
NPI 1104997907

Paul David Blakeley is a Prosthetist based in Spartanburg, SC. Paul David Blakeley practices in Spartanburg, SC and has the professional credentials of CPOFAAOP. The NPI Number for Paul David Blakeley is 1104997907 and holds a License No. (South Carolina).

The current practice location address for Paul David Blakeley is 102 Willow Lane, Spartanburg, SC and can be reached out via phone at 864-582-4411 and via fax at 864-573-6717.

Location: 102 Willow Lane, Spartanburg, SC, 29307-1343
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104997907
Provider Name
Paul David Blakeley
Credential
CPOFAAOP
Provider Entity Type
Individual
Gender
Male
Address
102 Willow Lane, Spartanburg, SC, 29307-1343
Phone Number
864-582-4411
Fax Number
864-573-6717
Provider Enumeration Date
11/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7701424 05 NC
DME285 05 SC
institution
Provider Business Practice Location Address Details
Address
102 Willow Lane
City
Spartanburg
State
South Carolina
Zip
29307-1343
Phone Number
864-582-4411
Fax Number
864-573-6717
person
Provider Business Mailing Address Details
Address
102 Willow Lane
City
Spartanburg
State
South Carolina
Zip
29307-1343
Phone Number
864-582-4411
Fax Number
864-573-6717
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
222Z00000X
License No.
(South Carolina)
Definition
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Prosthetist
Speciality
-
Taxonomy
224P00000X
License No.
(South Carolina)
Definition
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.
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