IndividualActive
Paul Blakeley, CPO FAAOP
NPI 1104997907 · Prosthetist · Spartanburg, SC
Provider details
- NPI number
- 1104997907
- Entity type
- Individual
- Primary specialty
- ProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CPO FAAOP
- Sex
- Male
- Sole proprietor
- No
Practice location
102 Willow Lane
Spartanburg, SC 29307-1343
Phone: (864) 582-4411
Fax: (864) 573-6717
Mailing address
102 Willow Lane
Spartanburg, SC 29307-1343
Registry dates
- Enumerated
- 2006-11-13
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.