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SHALOM'S PHYSICAL THERAPY LLC

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Company Details

Legal Name: SHALOM'S PHYSICAL THERAPY LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: September 14th 2023
Expiration date: 30 Sep 2025
UBI Number: 605 332 229
ZIP code: 99336
City: Kennewick
County: BENTON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 114 VISTA WAY, KENNEWICK, WA, 99336-3119, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 1524 S JEFFERSON PL, KENNEWICK, WA, 99338-2182, UNITED STATES

Contact Details

E-Mail: SHALOMSPT@GMAIL.COM
Phone Number: +1 509-528-6918

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
DANI'EL POWELL Registered Agent 1524 S JEFFERSON PL, KENNEWICK, WA, 99338-2182, UNITED STATES

Key Officers & Management

Name Role Address
DANI'EL POWELL Executor 1524 S JEFFERSON PL, KENNEWICK, WA, 99338-2182, UNITED STATES
DANI'EL POWELL Governing Person -

National Provider Identifier

NPI Number:
1952182586
Certification Date:
2023-10-10

Authorized Person:

Name:
DANI'EL SHALOM POWELL
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QP2000X - Physical Therapy Clinic/Center
Is Primary:
Yes

Contacts:

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