| Name: | Excel Therapy Services, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 14 Jul 2005 (19 years ago) (Companies founded in July 2005) |
| Date of dissolution: | 20 Dec 2017 |
| Entity Number: | 000-467-198 |
| Register Number: | 000467198 |
| ZIP code: | 36054 (Companies in Elmore, 36054) |
| County: | Elmore |
| Place of Formation: | Elmore County |
| Principal Address: | MILLBROOK, AL |
| Registered Office Street Address: | 772 MONUMENT DRMILLBROOK, AL 36054 |
Activities
PHYSICAL THERAPY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326101999 | 2006-12-18 | 2007-10-11 | 772 MONUMENT DR, MILLBROOK, AL, 360541849, US | 772 MONUMENT DR, MILLBROOK, AL, 360541849, US | |||||||||||||||||||||
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| Phone | +1 334-285-0239 |
| Fax | 3342859689 |
Authorized person
| Name | EDWIN TYLER HALE |
| Role | OWNER |
| Phone | 3342850239 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 515-30241 |
| State | AL |
| Name | Role |
|---|---|
| HALE, EDWIN TYLER | Agent |
| Name | Role |
|---|---|
| HALE, EDWIN TYLER | Member |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
