Provider Demographics
NPI:1871962746
Name:PILATES ISLAND STUDIO
Entity type:Organization
Organization Name:PILATES ISLAND STUDIO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PILATES TEACHER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:BENEDICT
Authorized Official - Last Name:SOPALA
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:512-888-4496
Mailing Address - Street 1:200 BUTTERCUP CREEK BLVD STE 113
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-3701
Mailing Address - Country:US
Mailing Address - Phone:512-888-4496
Mailing Address - Fax:
Practice Address - Street 1:200 BUTTERCUP CREEK BLVD STE 113
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-3701
Practice Address - Country:US
Practice Address - Phone:512-888-4496
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-21
Last Update Date:2015-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty