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POULSBO PHYSICAL THERAPY PLLC

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Company Details

Legal Name: POULSBO PHYSICAL THERAPY PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: April 12th 2023
Expiration date: 30 Apr 2026
UBI Number: 605 196 129
ZIP code: 98370
City: Poulsbo
County: KITSAP
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1040 NE HOSTMARK ST STE 100E, POULSBO, WA, 98370-7337, UNITED STATES

Contact Details

E-Mail: COREY@POULSBOPT.COM
Phone Number: +1 360-598-2722

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
WILLIAM TOUCHETTE Registered Agent 22295 DAUNTLESS DR NW APT D304, POULSBO, WA, 98370-4004, UNITED STATES

Key Officers & Management

Name Role Address
WILLIAM TOUCHETTE Executor 13868 SUNRISE DRIVE NE, BAINBRIDGE ISLAND, WA, 98110-1161, UNITED STATES
WILLIAM TOUCHETTE Governing Person 10258 NE LAFAYETTE AVE, BAINBRIDGE IS, WA, 98110-4124, UNITED STATES
MORGAN MONIZ Governing Person -

National Provider Identifier

NPI Number:
1467140921
Certification Date:
2024-03-27

Authorized Person:

Name:
WILLIAM COREY TOUCHETTE
Role:
OWNER AND THERAPIST
Phone:

Taxonomy:

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

Contacts:

Fax:
3605982723
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