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Vibrant Physical Therapy & Wellness, PLLC

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Company Details

Name: Vibrant Physical Therapy & Wellness, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 11 May 2020 (5 years ago)
Financial Date End: 31 May 2026
Entity Number: 3874638
Place of Formation: IDAHO
File Number: 709236
ZIP code: 83616
County: Ada County
Principal Address: STE 120 280 S ACADEMY AVE EAGLE, ID 83616-6562
Mailing Address: HEATHER LOWE STE 120 280 S ACADEMY AVE EAGLE, ID 83616-6562

Agent

Name Role Address
Heather A Lowe Agent 280 S. ACADEMY AVE, 120, HEATHER LOWE, EAGLE, ID 83616

Manager

Name Role Address Appointed On
Heather A Lowe Manager 101 EAGLE GLEN LANE, EAGLE, ID 83616 2022-06-12
Heather Ann Lowe Manager 2653 E LAKEFORK DR, EAGLE, ID 83616-4703 2021-08-15

National Provider Identifier

NPI Number:
1356964449
Certification Date:
2023-04-06

Authorized Person:

Name:
DR. HEATHER ANN LOWE
Role:
OWNER/PHYSICAL THERAPIST
Phone:

Taxonomy:

Selected Taxonomy:
261QP2000X - Physical Therapy Clinic/Center
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Application for Reinstatement 0006400805 2025-08-13
Dissolution/Revocation - Administrative 0006399932 2025-08-13
Application for Reinstatement 0005859497 2024-08-13
Dissolution/Revocation - Administrative 0005857057 2024-08-13
Application for Reinstatement 0005354039 2023-08-05

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Date of last update: 17 Aug 2025

Sources: Idaho Secretary of State