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Teton Surgical Specialties PLLC

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Company Details

Name: Teton Surgical Specialties PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 01 Oct 2018 (7 years ago)
Financial Date End: 31 Oct 2025
Entity Number: 3307649
Place of Formation: IDAHO
File Number: 639278
ZIP code: 83455
County: Teton County
Principal Address: 4627 S 60 E VICTOR, ID 83455-4664
Mailing Address: KELI MAHAFFEY PO BOX 2724 POCATELLO, ID 83206

Manager

Name Role Address Appointed On Resigned On
Keli L Mahaffey Manager 3369 MERLIN DRIVE, IDAHO FALLS, ID 83404 2020-09-03 2023-11-07
Keli Mahaffey Manager 1542 ELK CREEK DRIVE, IDAHO FALLS, ID 83206 2023-11-07 No data

Agent

Name Role Address
BRUCE WATKINS Agent 1542 ELK CREEK DRIVE, KELI MAHAFFEY, IDAHO FALLS, ID 83404

National Provider Identifier

NPI Number:
1043779127
Certification Date:
2025-03-10

Authorized Person:

Name:
BRUCE JAMES WATKINS
Role:
OWNER / MD
Phone:

Taxonomy:

Selected Taxonomy:
2086S0105X - Surgery of the Hand (Surgery) Physician
Is Primary:
Yes

Contacts:

Fax:
8335130980

Filing

Filing Name Filing Number Filing date
Annual Report 0005941337 2024-10-14
Annual Report 0005469348 2023-11-07
Annual Report 0004888139 2022-09-07
Annual Report 0004487907 2021-11-05
Annual Report 0003994408 2020-09-03

USAspending Awards / Financial Assistance

Date:
2020-05-03
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:
111600.00
Total Face Value Of Loan:
111600.00
Date:
2020-05-03
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:
111600.00
Total Face Value Of Loan:
111600.00

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$111,600
Date Approved:
2020-05-01
Loan Status:
Exemption 4
SBA Guaranty Percentage:
100
Current Approval Amount:
$111,600
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$10,632.71
Servicing Lender:
Zions Bank, A Division of
Use of Proceeds:
Payroll: $111,600

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Date of last update: 15 Aug 2025

Sources: Idaho Secretary of State