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Fyzical Therapy of Tuscaloosa, LLC

Details

Name: Fyzical Therapy of Tuscaloosa, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 01 May 2017 (8 years ago) (Companies founded in May 2017)
Date of dissolution: 21 Dec 2017
Entity Number: 000-390-265
Register Number: 000390265
ZIP code: 35406 (Companies in Tuscaloosa, 35406)
County: Tuscaloosa
Place of Formation: Tuscaloosa County
Registered Office Street Address: 1300 MCFARLAND BOULEVARD NE STE 150TUSCALOOSA, AL 35406

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1780111344 2017-05-15 2022-07-21 1300 MCFARLAND BLVD NE STE 150, TUSCALOOSA, AL, 354062283, US 1300 MCFARLAND BLVD NE STE 150, TUSCALOOSA, AL, 354062283, US

Contacts

Phone +1 205-758-9041
Fax 2053458328

Authorized person

Name JERRI THWEATT
Role PRACTICE MANAGER
Phone 2057589041

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
Is Primary Yes

Agent

Name Role
STEPHENSON, CARL R III Agent

Organizer

Name Role Address
FISHER, JOHN T Organizer 1609 GREENSBORO AVENUETUSCALOOSA, AL 35401

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State