| Name: | EW Motion Therapy Lakeview, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 20 Jul 2016 (8 years ago) |
| Date of dissolution: | 23 Feb 2022 |
| Entity Number: | 000-367-663 |
| Register Number: | 000367663 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 3125 INDEPENDENCE DRIVE SUITE 300BBIRMINGHAM, AL 35209 |
| Registered Office Street Address ZIP Code: | 35209 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730532029 | 2016-07-21 | 2016-07-21 | 4 OFFICE PARK CIR STE 217, MOUNTAIN BRK, AL, 352232674, US | 2808 7TH AVE S STE 111, BIRMINGHAM, AL, 352332862, US | |||||||||||||||||||
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| Phone | +1 205-263-2770 |
| Fax | 2052630994 |
| Phone | +1 205-745-3976 |
| Fax | 2054534221 |
Authorized person
| Name | RACHEL GOLDEN |
| Role | BUSINESS MANAGER |
| Phone | 2052632770 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WHITE, ETHAN | Agent | 3125 INDEPENDENCE DRIVE, SUITE 300BBIRMINGHAM, AL 35209 |
| Name | Role | Address |
|---|---|---|
| WHITE, ETHAN | Organizer | 3125 INDEPENDENCE DRIVE, SUITE 300BBIRMINGHAM, AL 35209 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
