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ATHLETIC TRAINING PHYSIOTHERAPY LLC

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Company Details

Legal Name: ATHLETIC TRAINING PHYSIOTHERAPY LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: August 14th 2024
Expiration date: 31 Aug 2025
UBI Number: 605 593 863
ZIP code: 98070
City: Vashon
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 16217 CRESCENT DR SW, VASHON, WA, 98070-3741, UNITED STATES

Contact Details

E-Mail: SHANE.WILLIAMSJR@OUTLOOK.COM
Phone Number: +1 810-471-2384

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
SHANE WILLIAMS JR. Registered Agent 16217 CRESCENT DR SW, VASHON, WA, 98070-3741, UNITED STATES

Key Officers & Management

Name Role Address
SHANE WILLIAMS JR. Executor 16217 CRESCENT DR SW, VASHON, WA, 98070-3741, UNITED STATES
SHANE WILLIAMS Governing Person -

National Provider Identifier

NPI Number:
1831921212
Certification Date:
2024-08-15

Authorized Person:

Name:
DR. SHANE WILLIAMS JR.
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

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