| Name: | Gaitway Physical Therapy, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 10 Nov 2010 (14 years ago) |
| Entity Number: | 000-304-208 |
| Register Number: | 000304208 |
| County: | Tuscaloosa |
| Place of Formation: | Dallas County |
| Principal Address: | SELMA, AL |
| Registered Office Street Address: | 7224 SANDHURST AVENUETUSCALOOSA, AL 35405 |
| Registered Office Street Address ZIP Code: | 35405 |
Activities
PHYSICAL THERAPY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417255977 | 2011-03-08 | 2023-06-02 | 7224 SANDHURST AVE, TUSCALOOSA, AL, 354056412, US | 7224 SANDHURST AVE, TUSCALOOSA, AL, 354056412, US | |||||||||||||||||||||||||||
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| Phone | +1 334-412-5077 |
| Fax | 2052105034 |
Authorized person
| Name | DARRELL TULL |
| Role | OWNER |
| Phone | 3348727001 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| License Number | PTA3420 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| License Number | PTH5121 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| TULL, DARRELL RAY | Agent |
| Name | Role |
|---|---|
| TULL, DARRELL RAY | Member |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
