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ESPT Fairhope, LLC

Details

Name: ESPT Fairhope, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 16 Apr 2018 (7 years ago)
Entity Number: 000-516-029
Register Number: 000516029
County: Baldwin
Place of Formation: Baldwin County
Registered Office Street Address: 164 PECAN AVEFAIRHOPE, AL 36532
Registered Office Street Address ZIP Code: 36532

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1396236378 2018-05-24 2018-05-24 164 PECAN AVE, FAIRHOPE, AL, 365321226, US 924 PLANTATION BLVD STE B, FAIRHOPE, AL, 365327308, US

Contacts

Phone +1 251-401-0426
Phone +1 251-928-0600

Authorized person

Name BRIAN M LACKEY
Role PRESIDENT
Phone 2519280600

Taxonomy

Taxonomy Code 261QP2000X - Physical Therapy Clinic/Center
Is Primary Yes

Agent

Name Role Address
LACKEY, BRIAN M Agent 108 LAKE CREST DRIVEMADISON, AL 35758

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State