| Name: | LifeWork Therapy Services, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 20 Jan 2017 (8 years ago) (Companies founded in January 2017) |
| Entity Number: | 000-381-395 |
| Register Number: | 000381395 |
| ZIP code: | 35640 (Companies in Morgan, 35640) |
| County: | Morgan |
| Place of Formation: | Morgan County |
| Registered Office Street Address: | 616 CELIA DRIVEHARTSELLE, AL 35640 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811437163 | 2017-03-06 | 2018-05-14 | 913 HIGHWAY 31 SW, HARTSELLE, AL, 356402857, US | 913 HIGHWAY 31 SW, HARTSELLE, AL, 35640, US | |||||||||||||||||||||||||||
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| Phone | +1 256-502-8684 |
| Fax | 2565028923 |
| Phone | +1 256-345-3155 |
Authorized person
| Name | JOSEPH M TUCKER |
| Role | OWNER |
| Phone | 2565028684 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PTH4026 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 200685 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| TUCKER, JOSEPH M | Agent | 616 CELIA DRIVEHARTSELLE, AL 35640 |
| Name | Role | Address |
|---|---|---|
| TUCKER, JOSEPH M | Organizer | 616 CELIA DRIVEHARTSELLE, AL 35640 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
