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MINDBODY HEALTH AND WELLNESS CLINIC, PLLC

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Company Details

Legal Name: MINDBODY HEALTH AND WELLNESS CLINIC, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: January 24th 2025
Expiration date: 31 Jan 2026
UBI Number: 605 674 146
ZIP code: 98926
City: Ellensburg
County: KITTITAS
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 100 W 3RD AVE STE B, ELLENSBURG, WA, 98926-3354, UNITED STATES

Contact Details

E-Mail: SANDERSON@STAMPERLAW.COM

Nature of Business

Any Lawful Purpose

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Registered Agent Information

Name Role Address
STEVEN ANDERSON Registered Agent 720 W BOONE AVE STE 200, SPOKANE, WA, 99201-2560, UNITED STATES

Key Officers & Management

Name Role Address
ZACHARY DIFFINBAUGH Executor 100 W 3RD AVE STE B, ELLENSBURG, WA, 98926-3354, UNITED STATES
TAMI IZZI Executor 100 W 3RD AVE STE B, ELLENSBURG, WA, 98926-3354, UNITED STATES
ZACHARY DIFFINBAUGH Governing Person -
TAMI IZZI Governing Person -

National Provider Identifier

NPI Number:
1558176677
Certification Date:
2025-02-07

Authorized Person:

Name:
TAMI IZZI
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

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