IndividualActive
Billy Blaylock, CCMA OTC
NPI 1316798804 · Orthopedic Assistant · Reisterstown, MD
Provider details
- NPI number
- 1316798804
- Entity type
- Individual
- Primary specialty
- Orthopedic AssistantTechnologists, Technicians & Other Technical Service Providers
- Credential
- CCMA OTC
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
- Home Health Aide374U00000X
Nursing Service Related Providers
Practice location
11 Berrymans Ln
Reisterstown, MD 21136-1933
Phone: (410) 800-7324
Approximate (ZIP-level) locationGet directions
Mailing address
11 Berrymans Ln
Reisterstown, MD 21136-1933
Registry dates
- Enumerated
- 2024-04-01
- Last updated
- 2024-04-01
- Certified
- 2024-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.