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EMPOWER PHYSICAL THERAPY, PLLC

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Company Details

Legal Name: EMPOWER PHYSICAL THERAPY, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: September 22nd 2021
Expiration date: 30 Sep 2025
UBI Number: 604 805 386
ZIP code: 98225
City: Bellingham
County: WHATCOM
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1815 CORNWALL AVE, BELLINGHAM, WA, 98225-4614, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 2606 ALVARADO PL, BELLINGHAM, WA, 98229-8808, UNITED STATES

Contact Details

E-Mail: BEN22.MAHONEY@GMAIL.COM
Phone Number: +1 541-740-3510

Nature of Business

Any Lawful Purpose, Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
BENJAMIN MAHONEY Registered Agent 2606 ALVARADO PL, BELLINGHAM, WA, 98229-8808, UNITED STATES

Key Officers & Management

Name Role Address
BENJAMIN MAHONEY Executor 2606 ALVARADO PL, BELLINGHAM, WA, 98229-8808, UNITED STATES
BENJAMIN MAHONEY Governing Person 1815 CORNWALL AVE, SUITE B, BELLINGHAM, WA, 98225-4614, UNITED STATES

National Provider Identifier

NPI Number:
1891446381
Certification Date:
2022-01-16

Authorized Person:

Name:
DR. BENJAMIN T MAHONEY
Role:
OWNER / PHYSICAL THERAPIST
Phone:

Taxonomy:

Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
No
Selected Taxonomy:
2251S0007X - Sports Physical Therapist
Is Primary:
No
Selected Taxonomy:
2251X0800X - Orthopedic Physical Therapist
Is Primary:
Yes

Contacts:

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