PHYSIO ONE PLLC
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| Name: | PHYSIO ONE PLLC |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Inactive-Dissolved (Administrative) |
| Date of registration: | 17 May 2012 (13 years ago) |
| Financial Date End: | 31 May 2024 |
| Date dissolved: | 13 Aug 2024 |
| Entity Number: | 350812 |
| Place of Formation: | IDAHO |
| File Number: | 350812 |
| ZIP code: | 83835 |
| County: | Kootenai County |
| Principal Address: | 827 W PRAIRIE AVE HAYDEN, ID 83835-8459 |
| Mailing Address: | PHYSIO ONE 827 W PRAIRIE AVE HAYDEN, ID 83835-8459 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Tyler J Blackwelder | Member | PO BOX 2834, HAYDEN, ID 83835 | 2021-04-04 |
| Tyler Blackwelder | Member | 8827 N. GOVERNMENT WAY, HAYDEN, ID 83835 | 2022-11-14 |
| Name | Role | Address |
|---|---|---|
| FENNEMORE CRAIG, P.C. | Agent | 409 E COEUR DALENE AVE, SUITE 1, COEUR D ALENE, ID 83814 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Dissolution/Revocation - Administrative | 0005856548 | 2024-08-13 |
| Application for Reinstatement | 0005653883 | 2024-03-19 |
| Dissolution/Revocation - Administrative | 0005348778 | 2023-08-04 |
| Application for Reinstatement | 0004992728 | 2022-11-14 |
| Dissolution/Revocation - Administrative | 0004848998 | 2022-08-05 |
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Date of last update: 20 Jul 2025
Sources: Idaho Secretary of State