# MINDFUL PILATES AND WELLNESS, LLC

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

## Provider details

- **NPI number:** 1407389349
- **Authorized official:** ASHLEY PRULLIERE (PHYSICAL THERAPIST/OWNER)
- **Authorized official phone:** (601) 942-8538

## Contact information

- **Practice address:** 407 SUMMIT AVE, WEBSTER GROVES, MO 63119-2638
- **Practice address phone:** (601) 942-8538
- **Mailing address:** 407 SUMMIT AVE, WEBSTER GROVES, MO 63119-2638

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 2014015093 | MO | Yes |

## Other

- **Enumeration date:** 04/07/2017
- **Last updated:** 04/07/2017