Individual
MR. BLAKE LITTON FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
10071 BROAD RIVER RD STE B, IRMO, SC 29063-2381
(803) 445-1069
(803) 445-1097
Mailing address
141 ATRIUM WAY, COLUMBIA, SC 29223-6301
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6960
SC
Other
Enumeration date
05/24/2013
Last updated
08/22/2025
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