| Organization Name: | JUMPSTART PEDIATRICS LLC |
| NPI Number: | 1376862656 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RHYNO COETSEE (MANAGING PARTNER) |
| Mailing Address: | 955 Saint Peters Church Rd Chapin |
| State: | SC US |
| Postal Code: | 290368197 |
| Phone Number: | 8033616995 |
| Fax Number: | |
| NPI Enumeration Date: | 05/25/2010 |
| NPI Last Update Date: | 05/25/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | 2940 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |