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PHYSICAL THERAPY CLINIC, INC.

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Company Details

Name: PHYSICAL THERAPY CLINIC, INC.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Active-Good Standing
Date of registration: 26 Nov 1999 (26 years ago)
Financial Date End: 30 Nov 2025
Entity Number: 401477
Place of Formation: IDAHO
File Number: 401477
ZIP code: 83467
County: Lemhi County
Mailing Address: PO BOX 1107 SALMON, ID 83467-1107

Agent

Name Role Address
ZHOHNANN THAYN Agent 802 SHOUP ST, SALMON, ID 83467

Secretary

Name Role Address Appointed On Resigned On
Kathy Heald Secretary PO BOX 1107, SALMON, ID 83467 2020-10-06 2023-10-05

Vice President

Name Role Address Appointed On Resigned On
Kathryn Oldham Vice President PO BOX 1107, SALMON, ID 83467 2023-10-05 2023-10-05

President

Name Role Address Appointed On Resigned On
ZhohnAnn Thayn President PO BOX 1107, SALMON, ID 83467 2023-10-05 2023-10-05

Director

Name Role Address Appointed On
Tyler Thayn Director PO BOX 1107, SALMON, ID 83467 2023-10-05

National Provider Identifier

NPI Number:
1366799827

Authorized Person:

Name:
ZHOHNANN THAYN
Role:
OWNER/PHYSICAL THERAPIST
Phone:

Taxonomy:

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

Contacts:

Fax:
2087564020

Filing

Filing Name Filing Number Filing date
Annual Report 0005959902 2024-11-04
Annual Report 0005433300 2023-10-05
Annual Report 0004955473 2022-10-18
Annual Report 0004538682 2021-12-23
Annual Report 0004025222 2020-10-06

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Date of last update: 21 Jul 2025

Sources: Idaho Secretary of State