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FIZIOLOGIX PHYSICAL THERAPY PLLC

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Company Details

Legal Name: FIZIOLOGIX PHYSICAL THERAPY PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: August 2nd 2021
Expiration date: 31 Aug 2025
UBI Number: 604 787 649
ZIP code: 98370
City: Poulsbo
County: KITSAP
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 19206 VIKING WAY NW, POULSBO, WA, 98370-7213, UNITED STATES

Contact Details

E-Mail: TEAM@FIZIOLOGIX.COM
Phone Number: +1 360-860-3100

Nature of Business

Health Care, Social Assistance & Service Organization, DELIVERING SKILLED OUTPATIENT PHYSICAL THERAPY AND RELATED WELLNESS SERVICES BOTH IN PERSON AND VIA SECURE VIDEO TELEHEALTH

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Registered Agent Information

Name Role Address
GREGORY SPOONER Registered Agent 19206 VIKING WAY NW, POULSBO, WA, 98370-7213, UNITED STATES

Key Officers & Management

Name Role Address
GREGORY SPOONER Executor 19442 1ST AVE NE, POULSBO, WA, 98370-7382, UNITED STATES
MARZENA KMIECIK Executor 19442 1ST AVE NE, POULSBO, WA, 98370-7382, UNITED STATES
GREGORY SPOONER Governing Person 11820 PENNY PL NE, BAINBRIDGE IS, WA, 98110-4269, UNITED STATES
MARZENA KMIECIK Governing Person -

National Provider Identifier

NPI Number:
1578237517
Certification Date:
2022-07-22

Authorized Person:

Name:
GREGORY SPOONER
Role:
OWNER, DOCTOR OF PHYSICAL THERAPY
Phone:

Taxonomy:

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

Contacts:

Fax:
3602053587
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