# PROSPER AND THRIVE PELVIC HEALTH AND WELLNESS, 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:** 1700626520
- **Authorized official:** KELSEY LATRELL STEGALL PT, DPT, WCS (OWNER/PHYSICAL THERAPIST)
- **Authorized official phone:** (803) 201-9564

## Contact information

- **Practice address:** 1112 CAMBRIDGE OAKS DR, COLUMBIA, SC 29223-5345
- **Practice address phone:** (803) 201-9564
- **Mailing address:** 1112 CAMBRIDGE OAKS DR, COLUMBIA, SC 29223-5345
- **Mailing address phone:** (803) 201-9564

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/29/2024
- **Last updated:** 05/29/2024