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PHYSIOWORKS SILVERDALE PLLC

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Company Details

Legal Name: PHYSIOWORKS SILVERDALE PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: January 14th 2021
Expiration date: 31 Jan 2026
UBI Number: 604 701 218
ZIP code: 98383
City: Silverdale
County: KITSAP
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 9399 RIDGETOP BLVD NW STE 102, SILVERDALE, WA, 98383-8580, UNITED STATES

Contact Details

E-Mail: DANNYBEEMANMPT@GMAIL.COM
Phone Number: +1 360-516-1210

Nature of Business

Professional, Scientific & Technical Services, Any Lawful Purpose

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Registered Agent Information

Name Role Address
VANESSA MARTIN Registered Agent 13924 322ND AVE NE, DUVALL, WA, 98019, UNITED STATES

Key Officers & Management

Name Role
DANIEL BEEMAN Governing Person
KARL LANGE Governing Person
LPSL CORPORATE SERVICES, INC. EXECUTOR

National Provider Identifier

NPI Number:
1952986184
Certification Date:
2021-03-09

Authorized Person:

Name:
NANCY LYNN RICKERSON
Role:
ADMINISTRATIVE DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
261QR0400X - Rehabilitation Clinic/Center
Is Primary:
Yes

Contacts:

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