Organization
MINDFUL PILATES AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY PRULLIERE (PHYSICAL THERAPIST/OWNER)
(601) 942-8538
Entity
Organization
Contact information
Practice address
407 SUMMIT AVE, WEBSTER GROVES, MO 63119-2638
(601) 942-8538
Mailing address
407 SUMMIT AVE, WEBSTER GROVES, MO 63119-2638
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2014015093
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4177742112
NPI
MO
Enumeration date
04/07/2017
Last updated
04/07/2017
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