IndividualActive
Blake Fletcher, DPT
NPI 1205273620 · Physical Therapist · Irmo, SC
Provider details
- NPI number
- 1205273620
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- License
- 6960 (SC)
Practice location
10071 Broad River Rd Ste B
Irmo, SC 29063-2381
Phone: (803) 445-1069
Fax: (803) 445-1097
Mailing address
141 Atrium Way
Columbia, SC 29223-6301
Registry dates
- Enumerated
- 2013-05-24
- Last updated
- 2025-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.