PRO SPORT PHYSICAL THERAPY, LLC

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Company Details

Legal Name:	PRO SPORT PHYSICAL THERAPY, LLC
Jurisdiction:	WASHINGTON
Entity Type:	WA LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	July 1st 2019
Expiration date:	31 Jul 2026
UBI Number:	604 471 229
ZIP code:	98335
City:	Gig Harbor
County:	PIERCE
Home State:	WASHINGTON
Principal Office Street Address:	5125 OLYMPIC DR, STE 110, GIG HARBOR, WA, 98335-1712, UNITED STATES
Principal Office Mailing Address:	5125 OLYMPIC DR STE 110, GIG HARBOR, WA, 98335-1712, UNITED STATES

Contact Details

E-Mail:	DRSEANSPAULDING@GMAIL.COM
Phone Number:	+1 509-998-2067

Nature of Business

Professional, Scientific & Technical Services, Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
SEAN SPAULDING	Registered Agent	5125 OLYMPIC DR NW STE 110, GIG HARBOR, WA, 98335-1712, UNITED STATES

Key Officers & Management

Name	Role	Address
BRYAN LICHAU	Executor	930 S 336TH ST STE B, FEDERAL WAY, WA, 98003-6384, UNITED STATES
SEAN SPAULDING	Governing Person	-

Unique Entity ID

Unique Entity ID:

D72PXP2YGFD6

UEI Expiration Date:

2025-11-05

Business Information

URL:

www.prosportwa.com

Division Name:

PRO SPORT PHYSICAL THERAPY LLC

Activation Date:

2024-11-07

Initial Registration Date:

2024-11-05

National Provider Identifier

NPI Number:

1114552155

Certification Date:

2024-11-13

Link:

View on NPI website

Authorized Person:

Name:

SEAN SPAULDING

Role:

OWNER

Phone:

2538534000

Taxonomy:

Selected Taxonomy:

225100000X - Physical Therapist

Is Primary:

Yes

Contacts:

Phone:

+1 253-853-4000

Fax:

2538534001

Form 5500 Series

Employer Identification Number (EIN):

842239106

Plan Year:

2021

Number Of Participants:

Plan Name:

401(K)

Sponsor's telephone number:

2532089659

File:

View File

Plan Administrator / Signatory:

EDWARD ROJAS(Plan administrator)

Plan Year:

2020

Number Of Participants:

Plan Name:

401(K)

Sponsor's telephone number:

2532089659

File:

View File

Plan Administrator / Signatory:

EDWARD ROJAS(Plan administrator)

Paycheck Protection Program

Jobs Reported:

Initial Approval Amount:

$17,082.5

Date Approved:

2021-02-26

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$17,082.5

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Male Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$17,173.76

Servicing Lender:

Heritage Bank

Use of Proceeds:

Payroll: $17,076.5
Utilities: $1

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