IndividualActive
Ashay Blakely, HAIRLOSS PRACTITION
NPI 1861131385 · Prosthetic/Orthotic Supplier · Irmo, SC
Provider details
- NPI number
- 1861131385
- Entity type
- Individual
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Credential
- HAIRLOSS PRACTITION
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Suppliers
- Prosthetist224P00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Orthotic Fitter225000000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Other Specialist/Technologist246Z00000X
Technologists, Technicians & Other Technical Service Providers
Practice location
107 N Royal Tower Dr Ste I
Irmo, SC 29063-2782
Phone: (803) 497-4825
Approximate (ZIP-level) locationGet directions
Mailing address
112 Sonning Rd
Irmo, SC 29063-2507
Registry dates
- Enumerated
- 2022-06-02
- Last updated
- 2022-06-02
- Certified
- 2022-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.