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Resilience Spine & Sports Rehab, LLC

Details

Name: Resilience Spine & Sports Rehab, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 23 Dec 2022 (2 years ago)
Entity Number: 001-054-558
Register Number: 001054558
County: Madison
Place of Formation: Alabama
Registered Office Street Address: 970 Balch RdMadison, AL 35758
Registered Office Street Address ZIP Code: 35758

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1215649017 2022-12-23 2023-05-23 970 BALCH RD, MADISON, AL, 357589715, US 970 BALCH RD, MADISON, AL, 357589715, US

Contacts

Phone +1 256-258-8255
Fax 2052891316

Authorized person

Name DR. ALEXANDER WILLIAM SARAZEN
Role OWNER, CHIROPRACTIC PHYSICIAN
Phone 2562588255

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
Is Primary Yes
Taxonomy Code 111NR0400X - Rehabilitation Chiropractor
Is Primary No

Agent

Name Role Address
Sarazen, Alexander Agent 970 Balch RdMadison, AL 35758

Organizer

Name Role Address
Sarazen, Alexander Organizer 970 Balch RdMadison, AL 35758

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State