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BACK TO BASICS PHYSICAL THERAPY, PLLC

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Company Details

Legal Name: BACK TO BASICS PHYSICAL THERAPY, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: September 23rd 2021
Expiration date: 30 Sep 2025
UBI Number: 604 812 009
ZIP code: 99336
City: Kennewick
County: BENTON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 8033 W GRANDRIDGE BLVD, KENNEWICK, WA, 99336-7159, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 8836 W GAGE BLVD STE 204A, KENNEWICK, WA, 99336-7155, UNITED STATES

Contact Details

E-Mail: MICHELLE@COKEROTHLAW.COM
Phone Number: +1 509-783-0220

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role
ROTH BUSINESS SERVICES, LLC Registered Agent

Key Officers & Management

Name Role Address
KELLEE ORR Executor 12213 RICKY CT, PASCO, WA, 99301-6200, UNITED STATES
KELLEE RETTIG Governing Person -

National Provider Identifier

NPI Number:
1225796188
Certification Date:
2022-01-25

Authorized Person:

Name:
KELLEE P ORR
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
Yes

Contacts:

Fax:
5097831898
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