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Beyond Physical Therapy of Vestavia, LLC

Details

Name: Beyond Physical Therapy of Vestavia, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 28 Mar 2003 (22 years ago)
Entity Number: 000-689-166
Register Number: 000689166
County: Jefferson
Place of Formation: Jefferson County
Principal Address: VESTAVIA, AL
Registered Office Street Address: 100 CENTERVIEW DRIVE SUITE 190VESTAVIA, AL 35216
Registered Office Street Address ZIP Code: 35216

Activities PHYSICAL THERAPY SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1285704270 2006-11-08 2023-10-03 100 CENTERVIEW DR STE 190, VESTAVIA HILLS, AL, 352163774, US 100 CENTERVIEW DR STE 190, VESTAVIA HILLS, AL, 352163774, US

Contacts

Phone +1 205-824-0610
Fax 8004335134

Authorized person

Name MR. JON P CHURCH
Role OWNER
Phone 2058240610

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
License Number 933303715
State AL
Is Primary Yes

Agent

Name Role
CHURCH JON PAUL Agent

Member

Name Role
BEYOND PHYSICAL THERAPY LLC Member
CHURCH, JON PAUL Member

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State