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LIBERTY PHYSICAL THERAPY PLLC

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Company Details

Legal Name: LIBERTY PHYSICAL THERAPY PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Voluntarily Dissolved
Formation/ Registration Date: December 30th 2008
Date of Dissolution: February 8th 2021
Expiration date: 31 Dec 2020
UBI Number: 602 888 518
ZIP code: 98040
City: Mercer Island
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 9000 SE 45TH ST, MERCER ISLAND, WA, 98040-4144, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $2,155

Contact Details

E-Mail: KBPT1@AOL.COM
Phone Number: +1 206-486-0710

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
KIMBERLY D BENNETT Registered Agent 9000 SE 45TH ST, MERCER ISLAND, WA, 98040-0000, UNITED STATES

Key Officers & Management

Name Role Address
KIMBERLY D BENNETT Governing Person -
KIMBERLY D BENNETT EXECUTOR 9000 SE 45TH ST, MERCER ISLAND, WA, 98040, UNITED STATES
THOMAS BENNETT EXECUTOR 9000 SE 45TH ST, MERCER ISLAND, WA, 98040, UNITED STATES

National Provider Identifier

NPI Number:
1265701395

Authorized Person:

Name:
DR. KIM BENNETT
Role:
PHYSICAL THERAPIST/OWNER MANAGER
Phone:

Taxonomy:

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

Contacts:

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