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256 Physical Therapy, LLC

Details

Name: 256 Physical Therapy, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 31 May 2023 (a year ago) (Companies founded in May 2023)
Entity Number: 001-082-024
Register Number: 001082024
Place of Formation: Alabama
Registered Office Street Address: 25 Shoals BlvdFlorence, AL 35630-6101

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1811681653 2023-06-05 2023-10-27 25 SHOALS BLVD, FLORENCE, AL, 356303257, US 1222 N WOOD AVE, FLORENCE, AL, 356303014, US

Contacts

Phone +1 931-629-1323

Authorized person

Name DR. KELSEY DEAN KIMBROUGH
Role OWNER/OPERATOR
Phone 9316291323

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
Is Primary Yes

Agent

Name Role Address
Kimbrough, Kelsey D Agent 25 Shoals BlvdFlorence, AL 35630-6101

Organizer

Name Role Address
Kimbrough, Kelsey D Organizer 25 Shoals BlvdFlorence, AL 35630-6101

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State