| Name: | Waite Rehab & Wellness, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 13 Nov 2009 (15 years ago) |
| Entity Number: | 000-440-255 |
| Register Number: | 000440255 |
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | HUNTSVILLE, AL |
| Registered Office Street Address: | 1878 JEFF RD STE FHUNTSVILLE, AL 35806 |
| Registered Office Street Address ZIP Code: | 35806 |
Activities
PHYSICAL THERAPY PRIVATE PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932436334 | 2009-11-06 | 2021-03-04 | 7915 HIGHWAY 72 W, MADISON, AL, 357589561, US | 7915 HIGHWAY 72 W, MADISON, AL, 357589561, US | |||||||||||||||||||||||||||||||||
|
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| Phone | +1 256-489-2704 |
Authorized person
| Name | MR. SCOTT A WAITE |
| Role | OWNER/PHYSICAL THERAPIST |
| Phone | 2564892704 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PTH4161 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PTH4164 |
| State | AL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1790709400 |
| Issuer | NPI |
| Number | 1962737775 |
| Name | Role |
|---|---|
| WAITE, SCOTT | Agent |
| Name | Role |
|---|---|
| WAITE, SCOTT | Member |
| WAITE, HOLLY | Member |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
