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AFTERMATH AGENCY PLLC

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Company Details

Legal Name: AFTERMATH AGENCY PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: August 2nd 2023
Expiration date: 31 Aug 2026
UBI Number: 605 303 827
ZIP code: 98020
City: Edmonds
County: SNOHOMISH
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 9812 235TH PL SW, EDMONDS, WA, 98020-5634, UNITED STATES

Contact Details

E-Mail: CCRISPENO@GMAIL.COM
Phone Number: +1 206-261-2068

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role
AFTERMATH AGENCY PLLC Registered Agent

Key Officers & Management

Name Role Address
CARMEN CRISPENO Executor 9812 235TH PL SW, EDMONDS, WA, 98020-5634, UNITED STATES
CARMEN CRISPENO Governing Person -
KIMBERLY CRISPENO Governing Person -

National Provider Identifier

NPI Number:
1336925866
Certification Date:
2023-08-30

Authorized Person:

Name:
DR. KELSEY LYNN CRISPENO
Role:
DOCTOR OF PHYSICAL THERAPY
Phone:

Taxonomy:

Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
No
Selected Taxonomy:
261QP2000X - Physical Therapy Clinic/Center
Is Primary:
Yes

Contacts:

History

Type Old value New value Date of change
Name change AFTERMATH AGENCY LLC AFTERMATH AGENCY PLLC 2023-08-30
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