Organization
SPROUT THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TYLER COLDIRON CCC-SLP (OWNER)
(615) 347-9942
Entity
Organization
Contact information
Practice address
4260 RIDGEBROOK BND, CUMMING, GA 30028-8182
(615) 347-9942
Mailing address
4260 RIDGEBROOK BND, CUMMING, GA 30028-8182
(615) 347-9942
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/10/2026
Last updated
02/10/2026
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