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Therapy South-Pell City, LLC

Details

Name: Therapy South-Pell City, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 05 Oct 2006 (18 years ago) (Companies founded in October 2006)
Entity Number: 000-484-933
Register Number: 000484933
ZIP code: 35125 (Companies in Saint Clair, 35125)
County: Saint Clair
Place of Formation: Saint Clair County
Principal Address: PELL CITY, AL
Registered Office Street Address: 1242 MARTIN ST SOUTHPELL CITY, AL 35125

Activities PHYSICAL THERAPY SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1801991880 2006-09-14 2022-05-04 2823 GREYSTONE COMMERCIAL BLVD, BIRMINGHAM, AL, 352422660, US 85 PLAZA DR, PELL CITY, AL, 351259313, US

Contacts

Phone +1 205-745-3660
Fax 2057453649
Phone +1 205-338-6106

Authorized person

Name MRS. HANNAH KELLY
Role CREDENTIALING SPECIALIST
Phone 2057453660

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
License Number PTH3815
State AL
Is Primary No
Taxonomy Code 225100000X - Physical Therapist
Is Primary Yes
Taxonomy Code 225X00000X - Occupational Therapist
Is Primary No

Member

Name Role Address
COLE, DOUGLAS E Member 2807 GREYSTONE COMMERCIAL BLVD STE34BIRMINGHAM, AL 35242
FOSTER, STEPHEN Member 10 BUCKS VALLEY ROADASHVILLE, AL 35953

Agent

Name Role Address
FOSTER, STEPHEN Agent 10 BUCKS VALLEY ROADASHVILLE, AL 35953

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State