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INNOVATIVE HEALTH, PLLC

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Company Details

Legal Name: INNOVATIVE HEALTH, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: August 12th 2022
Expiration date: 31 Aug 2025
UBI Number: 604 950 893
ZIP code: 98144
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1916 23RD AVE S STE B, SEATTLE, WA, 98144-4616, UNITED STATES

Contact Details

E-Mail: DR.KMARTIN@GMAIL.COM
Phone Number: +1 503-703-7422

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
KEVIN MARTIN Registered Agent 1916 23RD AVE S STE B, SEATTLE, WA, 98144-4616, UNITED STATES

Key Officers & Management

Name Role Address
KEVIN MARTIN Executor 1916 23RD AVE S STE B, SEATTLE, WA, 98144-4616, UNITED STATES
KEVIN MARTIN Governing Person 1916 23RD AVE S, SEATTLE, WA, 98144-4616, UNITED STATES

National Provider Identifier

NPI Number:
1144942392
Certification Date:
2022-09-26

Authorized Person:

Name:
DR. KEVIN MARTIN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
No
Selected Taxonomy:
225700000X - Massage Therapist
Is Primary:
No
Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

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