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PHOENIX PHYSICAL THERAPY PLLC

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Company Details

Legal Name: PHOENIX PHYSICAL THERAPY PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: February 18th 2020
Expiration date: 28 Feb 2026
UBI Number: 604 580 152
ZIP code: 99336
City: Kennewick
County: BENTON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 10121 W CLEARWATER AVE STE 113, KENNEWICK, WA, 99336-3500, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 10121 W CLEARWATER AVE, SUITE 113, KENNEWICK, WA, 99336-3500, UNITED STATES

Contact Details

E-Mail: KSORENSEN@PHXPERFORMANCEPT.COM
Phone Number: +1 509-491-3807

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role
PHOENIX PHYSICAL THERAPY PLLC Registered Agent

Key Officers & Management

Name Role Address
KRAIG SORENSEN Executor 10121 W CLEARWATER AVE STE 113, KENNEWICK, WA, 99336-3500, UNITED STATES
KRAIG SORENSEN Governing Person 10121 W CLEARWATER AVE, SUITE 113, KENNEWICK, WA, 99336-3500, UNITED STATES

National Provider Identifier

NPI Number:
1376177519
Certification Date:
2020-02-27

Authorized Person:

Name:
KRAIG SORENSEN
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

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