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BODY WISE PHYSICAL THERAPY, PLLC

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Company Details

Name: BODY WISE PHYSICAL THERAPY, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 21 Apr 2010 (15 years ago)
Financial Date End: 30 Apr 2026
Entity Number: 287508
Place of Formation: IDAHO
File Number: 287508
ZIP code: 83709
County: Ada County
Principal Address: 9483 W SHELBORNE DR BOISE, ID 83709
Mailing Address: 9483 W SHELBORNE DR BOISE, ID 83709-5597

Agent

Name Role Address
DOUGLAS W HOGGATT Agent 9483 W SHELBORNE DR, BOISE, ID 83709

Manager

Name Role Address Appointed On
Douglas W Hoggatt Manager 9483 W. SHELBORNE DRIVE, BOISE, ID 83709 2021-04-25

National Provider Identifier

NPI Number:
1154911493
Certification Date:
2021-09-29

Authorized Person:

Name:
MR. DOUGLAS WINSTON HOGGATT
Role:
MANAGER/DIRECTOR
Phone:

Taxonomy:

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

Contacts:

Fax:
2086392906

Filing

Filing Name Filing Number Filing date
Annual Report 0006202097 2025-04-09
Annual Report 0005699938 2024-04-22
Annual Report 0005214738 2023-04-29
Annual Report 0004693603 2022-04-10
Annual Report 0004255628 2021-04-25

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Date of last update: 18 Jul 2025

Sources: Idaho Secretary of State