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Refine PT and Performance - East Alabama LLC

Details

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) (Companies founded in February 2022)
Entity Number: 001-000-552
Register Number: 001000552
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
1467196451 2022-04-25 2024-01-31 1324 ROSS CLARK CIR, DOTHAN, AL, 363014117, US 1324 ROSS CLARK CIR, DOTHAN, AL, 363014117, US

Contacts

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

Agent

Name Role
Thibodeaux, Kyle W Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State