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ELITE ATHLETICS PHYSICAL THERAPY LLC

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Company Details

Legal Name: ELITE ATHLETICS PHYSICAL THERAPY LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: January 29th 2021
Expiration date: 31 Jan 2026
UBI Number: 604 707 815
ZIP code: 99338
City: Kennewick
County: BENTON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 191 REATA RD, KENNEWICK, WA, 99338-9029, UNITED STATES
Principal Office Mailing Address: Google Maps Logo PO BOX 32, RICHLAND, WA, 99352-0032, UNITED STATES

Contact Details

E-Mail: JASON.HANSON014@GMAIL.COM

Nature of Business

Any Lawful Purpose, PHYSICAL THERAPY

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Registered Agent Information

Name Role Address
JASON HANSON Registered Agent 7916 REDONDA DR, PASCO, WA, 99301-7939, UNITED STATES

Key Officers & Management

Name Role Address
JASON HANSON Executor 5008 W CANAL DR, KENNEWICK, WA, 99336-1405, UNITED STATES
JASON HANSON Governing Person 5008 W CANAL DR, KENNEWICK, WA, 99336-1405, UNITED STATES

National Provider Identifier

NPI Number:
1689392565
Certification Date:
2022-08-17

Authorized Person:

Name:
DR. JASON LEE HANSON
Role:
CEO
Phone:

Taxonomy:

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

Contacts:

Fax:
5099605936
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