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Refine PT and Performance - North Alabama LLC

Details

Name: Refine PT and Performance - North Alabama LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 22 Sep 2021 (3 years ago) (Companies founded in September 2021)
Entity Number: 000-910-399
Register Number: 000910399
ZIP code: 36606 (Companies in Mobile, 36606)
County: Mobile
Place of Formation: Alabama
Registered Office Street Address: 1856 HUNTER AVENUEMOBILE, AL 36606

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1689346405 2021-09-30 2021-09-30 1111 KNIGHT ST SE, DECATUR, AL, 356016501, US 1111 KNIGHT ST SE, DECATUR, AL, 356016501, US

Contacts

Phone +1 256-973-1552
Fax 2569731553

Authorized person

Name KYLE THIBODEAUX
Role OWNER
Phone 2562279464

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
Is Primary Yes

Agent

Name Role
THIBODEAUX, KYLE Agent

Organizer

Name Role Address
S. FRASER REID, III Organizer 11 NORTH WATER STREET, SUITE 13290MOBILE, AL 36602

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State