Healthcare Provider Details

I. General information

NPI: 1760325906
Provider Name (Legal Business Name): WELLNESS PATTERN STUDIO PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 LOCUST ST
DES MOINES IA
50309-4104
US

IV. Provider business mailing address

500 LOCUST ST PMB 119
DES MOINES IA
50309-4104
US

V. Phone/Fax

Practice location:
  • Phone: 515-385-2815
  • Fax:
Mailing address:
  • Phone: 515-385-2815
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: SEANRA J KALIL
Title or Position: OWNER
Credential: PA-C
Phone: 773-415-7459