LONGVIEW PHYSICAL AND SPORTS THERAPY SERVICES P.S.

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Company Details

Legal Name:	LONGVIEW PHYSICAL AND SPORTS THERAPY SERVICES P.S.
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL SERVICE CORPORATION
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	November 7th 2003
Expiration date:	30 Nov 2025
UBI Number:	602 341 085
ZIP code:	98632
City:	Longview
County:	COWLITZ
Home State:	WASHINGTON
Principal Office Street Address:	625 9TH AVE STE 220, LONGVIEW, WA, 98632-2465, UNITED STATES

Contact Details

E-Mail:	JILL.ZILLES@LONGVIEWPT.COM
Phone Number:	+1 360-578-1188

Nature of Business

PHYSICAL THERAPY OFFICE

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Registered Agent Information

Name	Role	Address
BRUCE E PETERSON	Registered Agent	625 9TH AVE STE 220, LONGVIEW, WA, 98632-2465, UNITED STATES

Key Officers & Management

Name	Role
BRUCE PETERSON	Governing Person
JOHN KOWALSKI	Governing Person

National Provider Identifier

NPI Number:

1184835100

Link:

View on NPI website

Authorized Person:

Name:

BRUCE E PETERSON

Role:

OWNER

Phone:

3605781188

Taxonomy:

Selected Taxonomy:

225100000X - Physical Therapist

Is Primary:

Yes

Contacts:

Phone:

+1 360-578-1188

Fax:

3605786251

Form 5500 Series

Employer Identification Number (EIN):

200496245

Plan Year:

2023

Number Of Participants:

20

Plan Name:

401(K)

Sponsor's telephone number:

3605781188

File:

Plan Administrator / Signatory:

BRUCE PETERSON(Plan administrator)

Plan Year:

2022

Number Of Participants:

20

Plan Name:

401(K)

Sponsor's telephone number:

3605781188

File:

Plan Administrator / Signatory:

BRUCE PETERSON(Plan administrator)

Plan Year:

2021

Number Of Participants:

20

Plan Name:

401(K)

Sponsor's telephone number:

3605781188

File:

Plan Administrator / Signatory:

BRUCE PETERSON(Plan administrator)

Plan Year:

2020

Number Of Participants:

19

Plan Name:

401(K)

Sponsor's telephone number:

3605781188

File:

Plan Administrator / Signatory:

BRUCE PETERSON(Plan administrator)

Plan Year:

2019

Number Of Participants:

17

Plan Name:

401(K)

Sponsor's telephone number:

3605781188

File:

Plan Administrator / Signatory:

BRUCE PETERSON(Plan administrator)

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