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Therapy South - Opelika, LLC

Details

Name: Therapy South - Opelika, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 20 Sep 2018 (6 years ago) (Companies founded in September 2018)
Entity Number: 000-530-145
Register Number: 000530145
ZIP code: 35242 (Companies in Shelby, 35242)
County: Shelby
Place of Formation: Lee County
Registered Office Street Address: 2807 GREYSTONE COM BLVD STE 32BIRMINGHAM, AL 35242

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1518439629 2018-12-31 2018-12-31 2823 GREYSTONE COMMERCIAL BLVD, BIRMINGHAM, AL, 352422660, US 2701 FREDERICK RD STE 306, OPELIKA, AL, 368017281, US

Contacts

Phone +1 205-745-3660
Fax 2057453649
Phone +1 334-610-0354

Authorized person

Name HANNAH KELLY
Role CREDENTIALING SPECIALIST
Phone 2057453660

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
Is Primary Yes

Agent

Name Role
FOSTER, STEPHEN M FOSTER Agent

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State