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Middleton Physical Therapy, LLC

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Company Details

Name: Middleton Physical Therapy, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 25 Jun 2019 (6 years ago)
Financial Date End: 30 Jun 2025
Entity Number: 3551215
Place of Formation: IDAHO
File Number: 671173
ZIP code: 83644
County: Canyon County
Principal Address: 25300 MAGNOLIA BROOK WAY MIDDLETON, ID 83644
Mailing Address: 1020 W MAIN ST MIDDLETON, ID 83644-5270

Agent

Name Role Address
MARC GROW Agent 25300 MAGNOLIA BROOK WAY, MIDDLETON, ID 83644

Manager

Name Role Address Appointed On
Marc Grow Manager 1020 W MAIN ST, MIDDLETON, ID 83644-5270 2021-07-05

National Provider Identifier

NPI Number:
1477190858
Certification Date:
2020-03-17

Authorized Person:

Name:
MARC PATTEN GROW
Role:
OWNER/PHYSICAL THERAPIST
Phone:

Taxonomy:

Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
Yes

Contacts:

Fax:
2085652218

Filing

Filing Name Filing Number Filing date
Annual Report 0005817008 2024-07-11
Annual Report 0005314978 2023-07-10
Annual Report 0004802480 2022-07-05
Annual Report 0004332763 2021-07-05
Annual Report 0003867014 2020-05-05

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Date of last update: 17 May 2025

Sources: Idaho Secretary of State