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PHYSIOMENDER LLC

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Company Details

Legal Name: PHYSIOMENDER LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: December 3rd 2022
Expiration date: 31 Dec 2025
UBI Number: 605 000 185
ZIP code: 98801
City: Wenatchee
County: CHELAN
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1704 NORMAN ST, WENATCHEE, WA, 98801-1034, UNITED STATES

Contact Details

E-Mail: LAURENJOHNSON@PHYSIOMENDER.COM
Phone Number: +1 206-755-2236

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
LAUREN JOHNSON Registered Agent 1704 NORMAN ST, WENATCHEE, WA, 98801-1034, UNITED STATES

Key Officers & Management

Name Role Address
LAUREN JOHNSON Executor 1704 NORMAN ST, WENATCHEE, WA, 98801-1034, UNITED STATES
LAUREN JOHNSON Governing Person 1704 NORMAN ST, WENATCHEE, WA, 98801-1034, UNITED STATES

National Provider Identifier

NPI Number:
1285311944
Certification Date:
2023-07-03

Authorized Person:

Name:
MR. LAUREN DALE JOHNSON
Role:
OWNER/EMPLOYEE
Phone:

Taxonomy:

Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
Yes

Contacts:

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