# SPROUT PEDIATRICS LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275899866
- **Authorized official:** MR. RHYNO COETSEE PT (ADMINISTRATOR)
- **Authorized official phone:** (803) 361-6995

## Contact information

- **Practice address:** 108 BELFAIR RD, IRMO, SC 29063-8040
- **Practice address phone:** (803) 361-6995
- **Mailing address:** 108 BELFAIR RD, IRMO, SC 29063-8040
- **Mailing address phone:** (803) 361-6995

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 2940 | SC | Yes |

## Other

- **Enumeration date:** 04/09/2012
- **Last updated:** 04/09/2012