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Spine & Sport Physical Therapist Care, LLC

Details

Name: Spine & Sport Physical Therapist Care, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 06 Jul 2022 (2 years ago) (Companies founded in July 2022)
Entity Number: 001-028-517
Register Number: 001028517
ZIP code: 35660 (Companies in Colbert, 35660)
County: Colbert
Place of Formation: Alabama
Registered Office Street Address: 834 River Bluff TerraceSheffield, AL 35660

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1487374930 2022-09-02 2023-12-31 402 S WILSON DAM RD, MUSCLE SHOALS, AL, 356613662, US 402 S WILSON DAM RD, MUSCLE SHOALS, AL, 356613662, US

Contacts

Phone +1 865-332-7422
Phone +1 256-715-5868
Fax 2562535633

Authorized person

Name JOHN WAGGONER
Role OWNER
Phone 8653327422

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
Is Primary Yes

Agent

Name Role
Waggoner, John Agent

Organizer

Name Role Address
Hughston, Jameson Organizer 406 West Avalon AvenueMuscle Shoals, AL 35661

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State