Search icon

Mandeville Physical Therapy & Wellness, Inc.

Details

Name: Mandeville Physical Therapy & Wellness, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 06 Jan 2011 (14 years ago) (Companies founded in January 2011)
Entity Number: 000-266-156
Register Number: 000266156
Place of Formation: Madison County
Principal Address: HUNTSVILLE, AL
Registered Office Street Address: 2522 WOODHURST DRHUNTSVILLE, AL 35803-7901
Authorized Capital: $1,000
Paid Share Capital: $1,000

Activities PHYSICAL THERAPY/WELLNESS BUSINESS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1477859601 2011-02-05 2011-02-05 8300 WHITESBURG DR SE, SUITE A, HUNTSVILLE, AL, 358023008, US 8300 WHITESBURG DR SE, SUITE A, HUNTSVILLE, AL, 358023008, US

Contacts

Phone +1 256-679-6642
Fax 2568831533

Authorized person

Name MATT MANDEVILLE
Role OWNER
Phone 2566796641

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
License Number PTH3087
State AL
Is Primary Yes

Agent

Name Role Address
MANDEVILLE, MATTHEW S Agent 8300 WHITESBURG DR SW STE AHUNTSVILLE, AL 35802-3008

Incorporator

Name Role Address
MANDEVILLE, MATTHEW S Incorporator 8300 WHITESBURG DR SW STE AHUNTSVILLE, AL 35802-3008

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State