MEDICARE: WILL FORTNER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	12905	SC

General Provider Information

NPI Number	:	1942164231
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILL FORTNER

Provider Business Mailing Address
First Line	:	101 W MAIN ST
Second Line	:
City	:	EASLEY
State	:	SC
Zip	:	29640-2038
Country	:	US
Telephone Number	:	864-307-9198
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 W MAIN ST
Second Line	:
City	:	EASLEY
State	:	SC
Zip	:	29640-2038
Country	:	US
Telephone Number	:	864-307-9198
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/11/2025
Last Update Date	:	12/11/2025

Similar Medicare Providers

1700740990 — MICHELLE LOGAN
Practice Location Address:

101 W MAIN ST
EASLEY, SC
29640-2038

Practice Phone: 864-307-9198
Practice Fax:

1861466807 — MMRX OF EASLEY INC
Practice Location Address:

101 W MAIN ST
EASLEY, SC
29640-2038

Practice Phone: 864-859-4015
Practice Fax: 864-859-3396

1700188737 — FREDS STORES OF TENNESSEE INC
Practice Location Address:

101 W MAIN ST
EASLEY, SC
29640-2038

Practice Phone: 864-859-4015
Practice Fax:

1619226404 — MRS. CARYN NIX PETRATOS R. PH.
Practice Location Address:

101 W MAIN ST
EASLEY, SC
29640-2038

Practice Phone: 864-859-4015
Practice Fax: 864-859-3396

1699639609 — LINDSEY WELLNESS & BEHAVIORAL HEALTH CLINIC LLC
Practice Location Address:

116 KAY DR STE B
EASLEY, SC
29640-8997

Practice Phone: 864-787-7122
Practice Fax: 864-751-5212

1528920089 — SHAQUELAH WALTERS
Practice Location Address:

208 E 1ST AVE
EASLEY, SC
29640-3039

Practice Phone: 864-898-5800
Practice Fax:

Directions to “ WILL FORTNER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.