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Outlaw Physio LLC

Details

Name: Outlaw Physio LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 26 Nov 2023 (a year ago) (Companies founded in November 2023)
Entity Number: 001-109-379
Register Number: 001109379
Place of Formation: Alabama
Registered Office Street Address: 4211 Lennox Dr.Vestavia Hills, AL 35216-4550

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1417724451 2023-12-11 2023-12-11 4211 LENNOX DR, VESTAVIA HILLS, AL, 352164550, US 4211 LENNOX DR, VESTAVIA HILLS, AL, 352164550, US

Contacts

Phone +1 760-500-3575

Authorized person

Name DR. GARRETT RYAN TRUMMER
Role OWNER
Phone 7605003575

Taxonomy

Taxonomy Code 261QP2000X - Physical Therapy Clinic/Center
Is Primary Yes

Agent

Name Role
Trummer, Garrett R Agent

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State