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REVIVE PHYSICAL THERAPY LLC

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Company Details

Legal Name: REVIVE PHYSICAL THERAPY LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: June 1st 2021
Expiration date: 30 Jun 2026
UBI Number: 604 764 427
ZIP code: 98027
City: Issaquah
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 160 NW GILMAN BLVD STE 304, ISSAQUAH, WA, 98027-2549, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 1834 211TH AVE SE, SAMMAMISH, WA, 98075-9260, UNITED STATES

Contact Details

E-Mail: REVIVE-PT@OUTLOOK.COM
Phone Number: +1 678-429-6435

Nature of Business

Health Care, Social Assistance & Service Organization, THE PURPOSE OF THIS BUSINESS IS TO PROVIDE PHYSICAL THERAPY SERVICES.

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Registered Agent Information

Name Role Address
RAJACHITRA SENTHIVEL Registered Agent 7220 DOUGLAS AVE SE, SNOQUALMIE, WA, 98065-9750, UNITED STATES

Key Officers & Management

Name Role Address
LOVETTE DOBSON Executor 17350 STATE HIGHWAY 249, STE 220, HOUSTON, TX, 77064-1132, UNITED STATES
MEENAKSHI SINGH Governing Person -

National Provider Identifier

NPI Number:
1629743364
Certification Date:
2021-08-13

Authorized Person:

Name:
MEENAKSHI SINGH
Role:
CLINIC OWNER
Phone:

Taxonomy:

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

Contacts:

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