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TAHOMA PHYSICAL THERAPY PLLC

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Company Details

Legal Name: TAHOMA PHYSICAL THERAPY PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: January 17th 2025
Expiration date: 31 Jan 2026
UBI Number: 605 675 327
ZIP code: 98512
City: Olympia
County: THURSTON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1802 BLACK LAKE BLVD SW STE 104, OLYMPIA, WA, 98512-5665, UNITED STATES

Contact Details

E-Mail: JESSICA.MORSS@GMAIL.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
SUSAN NOVOA Registered Agent 8125 ELLISON LOOP NW, OLYMPIA, WA, 98502-8831, UNITED STATES

Key Officers & Management

Name Role Address
JESSICA MORSS Executor 881 PARTRIDGE DR NW, OLYMPIA, WA, 98502-9552, UNITED STATES
BLAKE NOVOA Executor 7635 FOREST PARK DR NW, OLYMPIA, WA, 98502-9507, UNITED STATES
JESSICA MORSS Governing Person -
BLAKE NOVOA Governing Person -

National Provider Identifier

NPI Number:
1093528879
Certification Date:
2025-01-28

Authorized Person:

Name:
LESLIE BLAKE NOVOA
Role:
OWNER/PHYSICAL THERAPIST
Phone:

Taxonomy:

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

Contacts:

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