| Name: | P4 Physical Therapy - Athens LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 10 Jun 2020 (4 years ago) |
| Date of dissolution: | 29 Aug 2024 |
| Entity Number: | 000-634-378 |
| Register Number: | 000634378 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 8059 MITCHELL LANEBIRMINGHAM, AL 35216 |
| Registered Office Street Address ZIP Code: | 35216 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992398481 | 2021-02-16 | 2022-01-13 | 8059 MITCHELL LANE, BIRMINGHAM, AL, 352166821, US | 15641 E LIMESTONE RD, ATHENS, AL, 356137518, US | |||||||||||||
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| Phone | +1 256-937-1360 |
Authorized person
| Name | MICHELLE SMITH |
| Role | DIRECTOR OF REVENUE CYCLE |
| Phone | 2055314200 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| HUMMEL, CHRIS | Agent |
| Name | Role | Address |
|---|---|---|
| JACKMAN, LAURA M | Organizer | 800 SHADES CREEK PARKWAY, SUITE 400BIRMINGHAM, AL 35209 |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
