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Snake River Physical Therapy Specialists L.L.C.

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Company Details

Name: Snake River Physical Therapy Specialists L.L.C.
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 14 Feb 2020 (5 years ago)
Financial Date End: 28 Feb 2026
Entity Number: 3781681
Place of Formation: IDAHO
File Number: 699246
ZIP code: 83401
County: Bonneville County
Principal Address: 620 WOODRUFF AVENUE IDAHO FALLS, ID 83401
Mailing Address: 620 S WOODRUFF AVE IDAHO FALLS, ID 83401-5299

Agent

Name Role Address
Renee Weber Agent 620 S WOODRUFF AVE, IDAHO FALLS, ID 83401

Member

Name Role Address Appointed On Resigned On
Casondra Pahis Member 620 S WOODRUFF AVE, IDAHO FALLS, ID 83401 2021-02-03 No data
Renee Weber Member 620 S WOODRUFF AVE, IDAHO FALLS, ID 83401 2024-01-03 2024-01-03

National Provider Identifier

NPI Number:
1174156814
Certification Date:
2020-02-22

Authorized Person:

Name:
RENEE WEBER
Role:
PHYSICAL THERAPIST
Phone:

Taxonomy:

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

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006102001 2025-02-08
Annual Report 0005535037 2024-01-03
Annual Report 0005051975 2023-01-04
Annual Report 0005051013 2023-01-04
Annual Report 0004550291 2022-01-03

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Date of last update: 07 Jul 2025

Sources: Idaho Secretary of State