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LIFETIME WELLNESS CHIROPRACTIC PLLC

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Company Details

Name: LIFETIME WELLNESS CHIROPRACTIC PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 04 Feb 2010 (15 years ago)
Financial Date End: 28 Feb 2026
Entity Number: 280779
Place of Formation: IDAHO
File Number: 280779
ZIP code: 83274
County: Bingham County
Principal Address: 528 N STATE ST SHELLEY, ID 83274
Mailing Address: 528 N STATE ST SHELLEY, ID 83274-1154

Agent

Name Role Address
BRENNAN WILLIAMS Agent 14384 S 1ST EAST, IDAHO FALLS, ID 83404

Manager

Name Role Address Appointed On
Brennan Williams Manager 14384 S 1ST EAST, IDAHO FALLS, ID 83404 2021-01-06

Managing Member

Name Role Address Appointed On
ATC Chiro PLLC Managing Member 528 N STATE ST, SHELLEY, ID 83274 2025-01-14

National Provider Identifier

NPI Number:
1962734889

Authorized Person:

Name:
DR. BRENNAN T WILLIAMS
Role:
MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006070273 2025-01-14
Annual Report 0005606658 2024-02-17
Annual Report 0005129058 2023-03-01
Annual Report 0004598788 2022-02-07
Annual Report 0004119847 2021-01-06

USAspending Awards / Financial Assistance

Date:
2020-04-28
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:
50300.00
Total Face Value Of Loan:
50300.00

Paycheck Protection Program

Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
50300
Current Approval Amount:
50300
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
50772.68

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Date of last update: 31 May 2025

Sources: Idaho Secretary of State