Individual ProviderBlake Litton FletcherPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address10071 Broad River Rd Ste B, Irmo, SC 29063-2381(803) 445-1069PECOS EnrollmentBased on the most recent information from CMS, provider Blake Litton Fletcher does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:24 PM.Profile DetailsProvider ID1205273620Provider TypeIndividualFull NameFletcher, Blake LittonTitleMr.CredentialDPTGenderMaleSole ProprietorNoEnumeration Date5/24/2013Last Updated8/22/2025Contact InformationPractice LocationPractice Address10071 Broad River Rd Ste B, Irmo, SC 29063-2381Phone(803) 445-1069Fax(803) 445-1097Mailing LocationMailing Address141 Atrium Way, Columbia, SC 29223-6301PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense6960South Carolina