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Performance Therapy Services, LLC

Details

Name: Performance Therapy Services, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 14 Oct 2016 (8 years ago)
Date of dissolution: 26 Dec 2017
Entity Number: 000-374-583
Register Number: 000374583
County: Madison
Place of Formation: Madison County
Registered Office Street Address: 7508 HUNTERWOOD LANEOWENS CROSS ROADS, AL 35763
Registered Office Street Address ZIP Code: 35763

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1700337466 2016-10-18 2016-10-18 7508 HUNTERWOOD LN, OWENS CROSS ROADS, AL, 357638866, US 7508 HUNTERWOOD LN, OWENS CROSS ROADS, AL, 357638866, US

Contacts

Phone +1 256-572-6212

Authorized person

Name KADE MITCHELL HARRIS
Role OWNER
Phone 2565726212

Taxonomy

Taxonomy Code 225200000X - Physical Therapy Assistant
License Number PTA6012
State AL
Is Primary Yes

Agent

Name Role
PERFORMANCE THERAPY SERVICES LLC Agent

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State