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Optimal Spine & Posture, PLLC

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Company Details

Name: Optimal Spine & Posture, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 07 Jul 2019 (6 years ago)
Financial Date End: 31 Jul 2026
Entity Number: 3560315
Place of Formation: IDAHO
File Number: 672461
ZIP code: 83616
County: Ada County
Principal Address: 118 S GRANDEAN WAY EAGLE, ID 83616
Mailing Address: 5216 N FORBES AVE BOISE, ID 83713

Agent

Name Role Address
Youri Kim Agent 5216 N FORBES AVE, BOISE, ID 83713

Manager

Name Role Address Appointed On
Justin Anderson Manager 5216 N FORBES AVE, BOISE, ID 83713 2021-06-03

National Provider Identifier

NPI Number:
1366039281
Certification Date:
2020-12-26

Authorized Person:

Name:
DR. JUSTIN ANDERSON
Role:
OWNER/CHIROPRACTOR
Phone:

Taxonomy:

Selected Taxonomy:
111NR0400X - Rehabilitation Chiropractor
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006334300 2025-07-01
Annual Report 0005819068 2024-07-13
Change of Registered Office/Agent/Both (by Entity) 0005400619 2023-09-13
Annual Report 0005264811 2023-06-04
Annual Report 0004781439 2022-06-11

USAspending Awards / Financial Assistance

Date:
2020-08-14
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
195000.00
Total Face Value Of Loan:
195000.00
Date:
2020-08-14
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
20000.00
Total Face Value Of Loan:
20000.00

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Date of last update: 06 Jul 2025

Sources: Idaho Secretary of State