WOODLAND CREEK PHYSICAL THERAPY, LLC

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Company Details

Legal Name:	WOODLAND CREEK PHYSICAL THERAPY, LLC
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Administratively Dissolved
Formation/ Registration Date:	April 7th 2000
Date of Dissolution:	September 3rd 2020
Expiration date:	30 Apr 2020
UBI Number:	602 027 552
ZIP code:	98502
City:	Olympia
County:	THURSTON
Home State:	WASHINGTON
Principal Office Street Address:	5145 26TH LN NW, OLYMPIA, WA, 98502-1401, UNITED STATES

Contact Details

E-Mail:	WOODLANDCREEKPT@COMCAST.NET
Phone Number:	+1 360-412-1367

Nature of Business

Holding Company

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Registered Agent Information

Name	Role	Address
KRISTI ENSIGN	Registered Agent	5145 26TH LN NW, OLYMPIA, WA, 98502-1401, UNITED STATES

Key Officers & Management

Name	Role
KRISTI ENSIGN	Governing Person

National Provider Identifier

NPI Number:

1578640124

Link:

View on NPI website

Authorized Person:

Name:

MR. SCOTT O. ENSIGN

Role:

OWNER

Phone:

3604121367

Taxonomy:

Selected Taxonomy:

174400000X - Specialist

Is Primary:

No

Selected Taxonomy:

174400000X - Specialist

Is Primary:

Yes

Contacts:

Phone:

+1 360-412-1368

Fax:

3604121391

Phone:

+1 360-412-1367

Form 5500 Series

Employer Identification Number (EIN):

912023444

Plan Year:

2016

Number Of Participants:

3

Plan Name:

401(K)

Sponsor's telephone number:

3604121367

File:

Plan Year:

2015

Number Of Participants:

3

Plan Name:

401(K)

Sponsor's telephone number:

3604121367

File:

Plan Year:

2014

Number Of Participants:

3

Plan Name:

401(K)

Sponsor's telephone number:

3604121367

File:

Plan Administrator / Signatory:

SCOTT ENSIGN(Plan administrator)

Plan Year:

2013

Number Of Participants:

3

Plan Name:

401(K)

Sponsor's telephone number:

3604121367

File:

Plan Administrator / Signatory:

SCOTT ENSIGN(Plan administrator) KRISTI ENSIGN(Employer/plan sponsor)

Plan Year:

2012

Number Of Participants:

3

Plan Name:

401(K)

Sponsor's telephone number:

3604121367

File:

Plan Administrator / Signatory:

SCOTT ENSIGN(Plan administrator) KRISTI ENSIGN(Employer/plan sponsor)

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