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CHANNING PHYSICAL THERAPY, P.C.

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Company Details

Name: CHANNING PHYSICAL THERAPY, P.C.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved
Date of registration: 04 Mar 1999 (26 years ago)
Financial Date End: 31 Mar 2022
Date dissolved: 08 Feb 2022
Entity Number: 391103
Place of Formation: IDAHO
File Number: 391103
ZIP code: 83404
County: Bonneville County
Mailing Address: 2570 CHANNING WAY IDAHO FALLS, ID 83404-7515

Agent

Name Role Address
LYNN WOODLAND Agent 2570 CHANNING WAY, IDAHO FALLS, ID 83404

Secretary

Name Role Address Appointed On
Lynn H Woodland Secretary 2570 CHANNING WAY, IDAHO FALLS, ID 83404 2021-02-10

National Provider Identifier

NPI Number:
1306064910

Authorized Person:

Name:
MS. MEISHA ADAMS
Role:
BILLING MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Articles of Dissolution 0004601116 2022-02-08
Annual Report 0004170812 2021-02-10
Annual Report 0003819231 2020-03-25
Annual Report 0003449162 2019-03-12
Annual Report 0002678011 2018-01-24

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Date of last update: 30 Jun 2025

Sources: Idaho Secretary of State