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JUAN DE FUCA FITNESS, LLC

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Company Details

Legal Name: JUAN DE FUCA FITNESS, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: April 18th 2023
Expiration date: 30 Apr 2026
UBI Number: 605 208 773
ZIP code: 98382
City: Sequim
County: CLALLAM
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 961 MEDSKER RD, SEQUIM, WA, 98382-8509, UNITED STATES

Contact Details

E-Mail: CHAD.BOEHM@GMAIL.COM

Nature of Business

Entertainment, Arts & Recreation, Health Care, Social Assistance & Service Organization, Other Services, Professional, Scientific & Technical Services

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Registered Agent Information

Name Role Address
CHAD BOEHM Registered Agent 961 MEDSKER RD, SEQUIM, WA, 98382-8509, UNITED STATES

Key Officers & Management

Name Role Address
NICOLE BOEHM Executor 961 MEDSKER RD, SEQUIM, WA, 98382-8509, UNITED STATES
CHAD BOEHM Executor 81 MORGISON LOOP, SEQUIM, WA, 98382-6664, UNITED STATES
CHAD BOEHM Governing Person 81 MORGISON LOOP, SEQUIM, WA, 98382-6664, UNITED STATES

National Provider Identifier

NPI Number:
1043076797
Certification Date:
2024-02-21

Authorized Person:

Name:
CHAD BOEHM
Role:
PHYSICAL THERAPIST
Phone:

Taxonomy:

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

Contacts:

History

Type Old value New value Date of change
Name change JUAN DE FUCA FITNESS AND THERAPY PLLC JUAN DE FUCA FITNESS, LLC 2023-07-20
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