NPI 1104997907

Paul David Blakeley, CPOFAAOP

Practitioner Prosthetist Spartanburg, SC

Practice location

Address: 102 Willow Lane, Spartanburg, SC 29307-1343
Phone: (864) 582-4411
Fax: (864) 573-6717

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

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Registry record

NPI: 1104997907
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Nov 2006
Record last updated: 11 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.