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ProFormance Therapy and Wellness, LLC

Details

Name: ProFormance Therapy and Wellness, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 05 Jul 2018 (6 years ago) (Companies founded in July 2018)
Entity Number: 000-523-300
Register Number: 000523300
ZIP code: 35802 (Companies in Madison, 35802)
County: Madison
Place of Formation: Madison County
Registered Office Street Address: 216 BEL AIR RD SEHUNTSVILLE, AL 35802

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
TVESYK4C7NW8 2024-12-26 162 EXPORT CIRCLE NW, HUNTSVILLE, AL, 35806, 3916, USA 216 BEL AIR RD SE, HUNTSVILLE, AL, 35802, USA

Business Information

Division Name PROFORMANCE THERAPY AND WELLNESS LLC
Congressional District 05
State/Country of Incorporation AL, USA
Activation Date 2023-12-29
Initial Registration Date 2023-03-21
Entity Start Date 2018-06-24
Fiscal Year End Close Date Dec 31

Points of Contacts

Electronic Business
Title PRIMARY POC
Name MAGGIE DUGGAN
Role OWNER
Address 216 BEL AIR RD SE, HUNTSVILLE, AL, 35802, USA
Government Business
Title PRIMARY POC
Name MAGGIE DUGGAN
Role OWNER
Address 216 BEL AIR RD SE, HUNTSVILLE, AL, 35802, USA
Past Performance Information not Available

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1942939731 2022-06-07 2022-06-07 216 BEL AIR RD SE, HUNTSVILLE, AL, 358023154, US 1104 ANNIE RUTH JAMAR ST, ATHENS, AL, 356114494, US

Contacts

Phone +1 256-203-3804
Fax 2565139952

Authorized person

Name MAGGIE DUGGAN
Role OWNER
Phone 2562033804

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
Is Primary Yes

Agent

Name Role
DUGGAN, MAGGIE A Agent

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State