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PRO MEDICAL PT, PLLC

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Company Details

Legal Name: PRO MEDICAL PT, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: November 26th 2024
Expiration date: 30 Nov 2025
UBI Number: 605 650 218
ZIP code: 98007
City: Bellevue
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 4455 148TH AVE NE, BELLEVUE, WA, 98007-3120, UNITED STATES

Contact Details

E-Mail: BORNBADGER@HOTMAIL.COM
Phone Number: +1 425-861-6255

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role
PRO MEDICAL PT, PLLC Registered Agent

Key Officers & Management

Name Role Address
SHELLY HACK Executor 6824 156TH PL NE, REDMOND, WA, 98052-4845, UNITED STATES
SHELLY HACK Governing Person -

National Provider Identifier

NPI Number:
1114738937
Certification Date:
2025-01-20

Authorized Person:

Name:
SHELLY HACK
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
4258616277
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