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NORTHPORT MASSAGE, PLLC

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Company Details

Legal Name: NORTHPORT MASSAGE, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: April 5th 2021
Expiration date: 30 Apr 2026
UBI Number: 604 739 038
ZIP code: 99157
City: Northport
County: STEVENS
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 304 6TH ST, NORTHPORT, WA, 99157-0932, UNITED STATES
Principal Office Mailing Address: Google Maps Logo PO BOX 932, NORTHPORT, WA, 99157-0932, UNITED STATES

Contact Details

E-Mail: MALAMA1999@GMAIL.COM
Phone Number: +1 206-512-4165

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
CHERYL BLOXAM Registered Agent 304 6TH ST, NORTHPORT, WA, 99157-0932, UNITED STATES

Key Officers & Management

Name Role Address
CHERYL BLOXAM Executor PO BOX 932, NORTHPORT, WA, 99157-0932, UNITED STATES
CHERYL BLOXAM Governing Person 304 6TH ST, NORTHPORT, WA, 99157-0932, UNITED STATES

National Provider Identifier

NPI Number:
1689344467
Certification Date:
2021-08-16

Authorized Person:

Name:
CHERYL BLOXAM
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
225700000X - Massage Therapist
Is Primary:
Yes

Contacts:

History

Type Old value New value Date of change
Name change NORTHPORT MASSAGE COMPANY, LLC NORTHPORT MASSAGE, PLLC 2022-03-24
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