| Name: | Functional Athletic Rehabilitation & Movement, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 05 Nov 2013 (11 years ago) |
| Entity Number: | 000-291-100 |
| Register Number: | 000291100 |
| Historical Names: |
Functional Athletic Rehabilitation and Medicine, LLC
|
| County: | Shelby |
| Place of Formation: | Shelby County |
| Principal Address: | 12101 KENLEY WAYBIRMINGHAM, AL 35242 |
| Principal Address ZIP Code: | 35242 |
Activities
PROTECT PERSONAL ASSETS OF DR BEAU BEARD
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790106201 | 2013-12-31 | 2023-05-31 | 203 NARROWS PARKWAY, SUITE A, BIRMINGHAM, AL, 35242, US | 203 NARROWS PARKWAY, SUITE A, BIRMINGHAM, AL, 35242, US | |||||||||||||||||||||||||||
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| Phone | +1 205-419-1595 |
| Fax | 2057249130 |
Authorized person
| Name | DR. BEAU RYAN BEARD |
| Role | OWNER |
| Phone | 2054191595 |
Taxonomy
| Taxonomy Code | 111NR0400X - Rehabilitation Chiropractor |
| License Number | 2415 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 111NS0005X - Sports Physician Chiropractor |
| License Number | 2415 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BEARD, BEAU | Agent | 13521 U.S. HIGHWAY 280 #125BIRMINGHAM, AL 35242 |
| Name | Role | Address |
|---|---|---|
| BEARD, BEAU | Organizer | 13521 U.S. HIGHWAY 280 #125BIRMINGHAM, AL 35242 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2015-09-24 | Name Change | Functional Athletic Rehabilitation and Medicine, LLC | Functional Athletic Rehabilitation & Movement, LLC |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
