# PILATES PT LLC

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

## Provider details

- **NPI number:** 1366611048
- **Authorized official:** MR. STAN R GIDLEY CPC (BUSINESS MANAGER)
- **Authorized official phone:** (816) 261-0654

## Contact information

- **Practice address:** 2335 N BELT HWY, SUITE F, SAINT JOSEPH, MO 64506-5040
- **Practice address phone:** (816) 261-0654
- **Practice address fax:** (913) 273-1549
- **Mailing address:** 5201 BROOKHAVEN DR, SAINT JOSEPH, MO 64507-7767
- **Mailing address phone:** (816) 261-0654
- **Mailing address fax:** (913) 273-1549

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 11-03676 | KS | — |
| 261QP2000X | Physical Therapy Clinic/Center | 2004030790 | MO | Yes |

## Other

- **Enumeration date:** 02/26/2008
- **Last updated:** 03/22/2010