| Name: | Refine PT and Performance - East Alabama LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 02 Feb 2022 (3 years ago) |
| Entity Number: | 001-000-552 |
| Register Number: | 001000552 |
| County: | Mobile |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 1856 Hunter AvenueMobile, AL 36606 |
| Registered Office Street Address ZIP Code: | 36606 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467196451 | 2022-04-25 | 2024-01-31 | 1324 ROSS CLARK CIR, DOTHAN, AL, 363014117, US | 1324 ROSS CLARK CIR, DOTHAN, AL, 363014117, US | |||||||||||||||
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| Phone | +1 334-769-2003 |
| Fax | 3347692004 |
Authorized person
| Name | KYLE THIBODEAUX |
| Role | OWNER/MEMBER |
| Phone | 2562279464 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Thibodeaux, Kyle W | Agent |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
