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HENRICKSEN PHYSICAL THERAPY, PLLC

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Company Details

Legal Name: HENRICKSEN PHYSICAL THERAPY, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: January 29th 2025
Expiration date: 31 Jan 2026
UBI Number: 605 674 581
ZIP code: 98501
City: Olympia
County: THURSTON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 3721 GRIFFIN LN SE STE 101, OLYMPIA, WA, 98501-2192, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 4250 MARTIN WAY E STE 105 PMB 236, OLYMPIA, WA, 98516-5317, UNITED STATES

Contact Details

E-Mail: KHENRICKSEN@GMAIL.COM
Phone Number: +1 253-318-0474

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
KELLI HENRICKSEN Registered Agent 3721 GRIFFIN LN SE STE 101, OLYMPIA, WA, 98501-2192, UNITED STATES

Key Officers & Management

Name Role Address
KELLI HENRICKSEN Executor 549 75TH WAY NE, OLYMPIA, WA, 98506-9711, UNITED STATES
KELLI HENRICKSEN Governing Person -

National Provider Identifier

NPI Number:
1932908837
Certification Date:
2025-04-28

Authorized Person:

Name:
KELLI HENRICKSEN
Role:
OWNER / MANAGER /PHYSICAL THERAPIST
Phone:

Taxonomy:

Selected Taxonomy:
261QP2000X - Physical Therapy Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
3609189713
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