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DIRECT ACCESS THERAPY PLLC

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Company Details

Legal Name: DIRECT ACCESS THERAPY PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: November 23rd 2021
Date of Dissolution: April 3rd 2023
Expiration date: 30 Nov 2022
UBI Number: 604 843 201
ZIP code: 98284
City: Sedro Woolley
County: SKAGIT
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 444 RAINBOW DR, SEDRO WOOLLEY, WA, 98284-9514, UNITED STATES

Contact Details

E-Mail: KEVOZNU52@GMAIL.COM
Phone Number: +1 206-818-4739

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Registered Agent Information

Name Role Address
BLUE OCEAN THERAPY Registered Agent 444 RAINBOW DR, SEDRO WOOLLEY, WA, 98284-9514, UNITED STATES

Key Officers & Management

Name Role Address
LAURA SMALING Executor 444 RAINBOW DR, SEDRO WOOLLEY, WA, 98284-9514, UNITED STATES
KEVIN MALONE Executor 444 RAINBOW DR, SEDRO WOOLLEY, WA, 98284-9514, UNITED STATES

National Provider Identifier

NPI Number:
1326790502
Certification Date:
2022-01-19

Authorized Person:

Name:
MR. KEVIN C MALONE
Role:
OWNER/MANAGER
Phone:

Taxonomy:

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

Contacts:

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