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EXCEL PERFORMANCE HEALTH AND WELLNESS LLC

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Company Details

Legal Name: EXCEL PERFORMANCE HEALTH AND WELLNESS LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: May 1st 2024
Expiration date: 31 May 2026
UBI Number: 605 533 153
ZIP code: 98047
City: Pacific
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 100 PALISADES PL STE N, PACIFIC, WA, 98047-5003, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 100 PALISADES PL, PACIFIC, WA, 98047-5003, UNITED STATES

Contact Details

E-Mail: WESTERN@NORTHWESTREGISTEREDAGENT.COM

Nature of Business

Any Lawful Purpose, THE PURPOSE OF THIS ORGANIZATION INCLUDES, BUT IS NOT LIMITED TO: THERAPY SERVICES

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Registered Agent Information

Name Role
NORTHWEST REGISTERED AGENT LLC Registered Agent

Key Officers & Management

Name Role Address
NAT SMITH Executor 522 W RIVERSIDE AVE STE N, SPOKANE, WA, 99201-0580, UNITED STATES
RICHARD LAU Governing Person -

National Provider Identifier

NPI Number:
1215775275
Certification Date:
2024-07-16

Authorized Person:

Name:
ANGELITO MABINI
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
225X00000X - Occupational Therapist
Is Primary:
No
Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
No
Selected Taxonomy:
261QP2000X - Physical Therapy Clinic/Center
Is Primary:
No
Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
Yes

Contacts:

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