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FOOTHILLS REHABILITATION & PERFORMANCE SERVICES, PLLC

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Company Details

Name: FOOTHILLS REHABILITATION & PERFORMANCE SERVICES, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 20 Jul 2007 (18 years ago)
Financial Date End: 31 Jul 2026
Entity Number: 205552
Place of Formation: IDAHO
File Number: 205552
ZIP code: 83404
County: Bonneville County
Principal Address: 3715 WOODKING DR. IDAHO FALLS, ID 83404
Mailing Address: 3715 WOODKING DR IDAHO FALLS, ID 83404-4720

Agent

Name Role Address
BRENT KENNEDY Agent 3715 WOODKING DR., BRENT KENNEDY, IDAHO FALLS, ID 83404

Manager

Name Role Address Appointed On Resigned On
Brent S. Kennedy Manager 3715 WOODKING DRIVE, IDAHO FALLS, ID 83404 2020-07-09 No data
Michael S. Anderson Manager 3715 WOODKING DRIVE, IDAHO FALLS, ID 83404 2024-06-03 2024-06-03

National Provider Identifier

NPI Number:
1063829836

Authorized Person:

Name:
BRENT KENNEDY
Role:
OWNER/MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
225X00000X - Occupational Therapist
Is Primary:
No
Selected Taxonomy:
235Z00000X - Speech-Language Pathologist
Is Primary:
No
Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
Yes

Contacts:

Fax:
2085292022

Filing

Filing Name Filing Number Filing date
Annual Report 0006292901 2025-06-03
Annual Report 0005753280 2024-06-03
Annual Report 0005264076 2023-06-03
Annual Report 0004794897 2022-06-27
Annual Report 0004300149 2021-06-03

USAspending Awards / Financial Assistance

Date:
2020-04-07
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
12400.00
Total Face Value Of Loan:
12400.00

Paycheck Protection Program

Jobs Reported:
4
Initial Approval Amount:
$12,400
Date Approved:
2020-04-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$12,400
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$12,481.87
Servicing Lender:
Glacier Bank
Use of Proceeds:
Payroll: $12,400

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Date of last update: 02 Aug 2025

Sources: Idaho Secretary of State