Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Heather Michelle Blake

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174883045

Mrs. Heather Michelle Blake is a Student in an Organized Health Care Education/Training Program in West Columbia, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

1311 Augusta Rd
West Columbia, SC 29169-6320
Phone: (803) 926-7204
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 4217 (SC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1174883045
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 24, 2012
Last updated in NPPESNovember 19, 2018

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