Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mind Body Endurance LLC

Organization Exercise & Sports Psychologist · NPI 1053018903

Mind Body Endurance LLC is an Exercise & Sports Psychologist in Saint Louis, Missouri. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

16 N Gore Ave Ste 204
Saint Louis, MO 63119-2315
Phone: (513) 505-2160
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Exercise & Sports Psychologist (primary) Taxonomy 103TE1100X

Record details

NPI number1053018903
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Riley Nickols — Owner · (513) 505-2160
Other names Mind Body Endurance Llc
NPI enumeratedFebruary 10, 2023
Last updated in NPPESFebruary 10, 2023
Certification dateFebruary 10, 2023
Mailing address16 N Gore Ave Ste 204, Saint Louis, MO 63119-2315