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EVERGREEN PHYSICAL THERAPY, P.S.

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Company Details

Legal Name: EVERGREEN PHYSICAL THERAPY, P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: December 13th 2018
Expiration date: 31 Dec 2025
UBI Number: 604 349 276
ZIP code: 98273
City: Mount Vernon
County: SKAGIT
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 2226 MARKET ST STE C, MOUNT VERNON, WA, 98273-5451, UNITED STATES
Principal Office Mailing Address: Google Maps Logo PO BOX 1789, CLEAR LAKE, MOUNT VERNON, WA, 98273-1789, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $5,678

Contact Details

E-Mail: SHARON@EVERGREENPTMV.COM
Phone Number: +1 360-428-6677

Nature of Business

Health Care, Social Assistance & Service Organization, PHISICAL THERAPY SERVICES

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Registered Agent Information

Name Role Address
LAWRENCE A PIRKLE Registered Agent 1220 MEMORIAL HWY STE A, MOUNT VERNON, WA, 98273-3210, UNITED STATES

Key Officers & Management

Name Role Address
JAY A SMITH Governing Person -
SHARON SMITH Governing Person -
JOSH SMITH Governing Person -
JAY A SMITH INCORPORATOR PO BOX 1789, MOUNT VERNON, WA, 98273-1789, UNITED STATES

National Provider Identifier

NPI Number:
1891780151
Certification Date:
2024-06-10

Authorized Person:

Name:
MR. JOSHUA R SMITH
Role:
OFFICE ADMIN
Phone:

Taxonomy:

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

Contacts:

Fax:
3604287635

Paycheck Protection Program

Jobs Reported:
12
Initial Approval Amount:
$102,500
Date Approved:
2020-05-12
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$102,500
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$103,676.64
Servicing Lender:
SaviBank
Use of Proceeds:
Payroll: $102,500
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