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Body Logic Physical Therapy LLC

Details

Name: Body Logic Physical Therapy LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 31 Mar 2014 (11 years ago) (Companies founded in March 2014)
Entity Number: 000-306-726
Register Number: 000306726
ZIP code: 36116 (Companies in Montgomery, 36116)
County: Montgomery
Place of Formation: Montgomery County
Principal Address: 8646 ANNA PLACEMONTGOMERY, AL 36116

Activities PHYSICAL THERAPY & PREVENTATIVE WELLNESS SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1366851966 2014-08-07 2014-08-07 PO BOX 242817, MONTGOMERY, AL, 361242817, US 7150 HALCYON PARK DR, MONTGOMERY, AL, 361177713, US

Contacts

Phone +1 334-380-5920
Fax 3343805921

Authorized person

Name MRS. TIFFANY BROCK HIGGINBOTHAM
Role CLINICAL DIRECTOR
Phone 3343805920

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
License Number PTH2937
State AL
Is Primary Yes

Agent

Name Role Address
HIGGINBOTHAM, TIFFANY Agent 8646 ANNA PLACEMONTGOMERY, AL 36116

Organizer

Name Role Address
HIGGINBOTHAM, TIFFANY Organizer 8646 ANNA PLACEMONTGOMERY, AL 36116

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State