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Ultimate Edge Sports Medicine LLC

Details

Name: Ultimate Edge Sports Medicine LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 23 Mar 2016 (9 years ago) (Companies founded in March 2016)
Entity Number: 000-357-907
Register Number: 000357907
ZIP code: 35117 (Companies in Jefferson, 35117)
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 6313 PINNACLE CIRCLEMT.OLIVE, AL 35117

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1821442146 2016-04-22 2016-12-02 1581 MONTGOMERY HWY STE 115, HOOVER, AL, 352164536, US 1581 MONTGOMERY HWY STE 115, HOOVER, AL, 352164536, US

Contacts

Phone +1 205-874-6765

Authorized person

Name KIMBERLY BECKER
Role OWNER
Phone 4193924394

Taxonomy

Taxonomy Code 261QP2000X - Physical Therapy Clinic/Center
License Number PTH 6023
State AL
Is Primary Yes

Agent

Name Role Address
BECKER, KIMBERLY Agent 6313 PINNACLE CIRCLEMT.OLIVE, AL 35117

Organizer

Name Role Address
BECKER, KIMBERLY Organizer 6313 PINNACLE CIRCLEMT.OLIVE, AL 35117

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State