| Name: | Lystra Physical Therapy and Wellness LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 26 Aug 2015 (9 years ago) (Companies founded in August 2015) |
| Entity Number: | 000-343-802 |
| Register Number: | 000343802 |
| Place of Formation: | Madison County |
| Registered Office Street Address: | 8331 MADISON BLVD SUITE 200BMADISON, AL 35758-7327 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407224728 | 2015-09-03 | 2022-11-23 | 8331 MADISON BLVD, SUITE 500, MADISON, AL, 357582068, US | 8331 MADISON BLVD, MADISON, AL, 357582068, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 256-325-2070 |
| Fax | 8445879612 |
Authorized person
| Name | MR. ROBERT MALONE |
| Role | PT |
| Phone | 2563252070 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| License Number | PTH4294 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MALONE, ROBERT | Agent | 12770 OLMSTEAD CIRMCCALLA, AL 35111-4706 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
