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Villa Pediatric Therapy LLC

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Company Details

Name: Villa Pediatric Therapy LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 10 Mar 2019 (6 years ago)
Financial Date End: 31 Mar 2026
Entity Number: 3446804
Place of Formation: IDAHO
File Number: 657789
ZIP code: 83835
County: Kootenai County
Principal Address: CRISTINA VILLARREAL 2802 E GRAND TOUR DRIVE HAYDEN, ID 83835
Mailing Address: CRISTINA VILLARREAL PO BOX 793 RATHDRUM, ID 83858-0793

Agent

Name Role Address
Cristina Villarreal Agent 8052 W MAIN STREET #202, RATHDRUM, ID 83858

Manager

Name Role Address Appointed On
Cristina Villarreal Manager 8052 W MAIN STREET #202, RATHDRUM, ID 83858 2021-03-03

National Provider Identifier

NPI Number:
1689132375
Certification Date:
2022-04-04

Authorized Person:

Name:
CRISTINA VILLARREAL
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
235Z00000X - Speech-Language Pathologist
Is Primary:
Yes

Contacts:

Fax:
2087126808

Filing

Filing Name Filing Number Filing date
Annual Report 0006090472 2025-02-03
Annual Report 0005582990 2024-02-04
Annual Report 0005195158 2023-04-11
Annual Report 0004707686 2022-04-20
Annual Report 0004190131 2021-03-03

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Date of last update: 06 Jul 2025

Sources: Idaho Secretary of State