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REVIVE THERAPEUTICS, PLLC

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Company Details

Legal Name: REVIVE THERAPEUTICS, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: January 1st 2018
Date of Dissolution: June 3rd 2024
Expiration date: 31 Jan 2024
UBI Number: 604 202 878
ZIP code: 98134
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 3250 AIRPORT WAY S, STE 649, SEATTLE, WA, 98134-2111, UNITED STATES

Contact Details

E-Mail: RACHEL@REVIVETHERAPEUTICS.COM
Phone Number: +1 206-451-7037

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
REVIVE THERAPEUTICS Registered Agent 3250 AIRPORT WAY S, STE 649, SEATTLE, WA, 98134-2111, UNITED STATES

Key Officers & Management

Name Role Address
RACHEL PORTER Executor 1307 SW 348TH ST, FEDERAL WAY, WA, 98023-7027, UNITED STATES
RACHEL PORTER Governing Person 4409 50TH AVE S, SEATTLE, WA, 98118-1427, UNITED STATES

National Provider Identifier

NPI Number:
1699092395

Authorized Person:

Name:
DANA KIRKWOOD-WATTS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
171100000X - Acupuncturist
Is Primary:
No
Selected Taxonomy:
225700000X - Massage Therapist
Is Primary:
Yes

Contacts:

Fax:
2067601730
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