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62 DEGREES PHYSICAL THERAPY, LLC

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Company Details

Name: 62 DEGREES PHYSICAL THERAPY, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 05 Dec 2013 (12 years ago)
Financial Date End: 31 Dec 2021
Date dissolved: 03 Dec 2021
Entity Number: 402878
Place of Formation: IDAHO
File Number: 402878
ZIP code: 83704
County: Ada County
Principal Address: 8660 WEST EMERALD ST SUITE 112 BOISE, ID 83704
Mailing Address: KATRIN HURLEY MOFFETT 11216 W EDGEHILL DR BOISE, ID 83709-7707

Agent

Name Role Address
Katrin H MOFFETT Agent 11216 EDGEHILL DR, BOISE, ID 83709

Manager

Name Role Address Appointed On
Katrin H MOFFETT Manager 11216 EDGEHILL DR, BOISE, ID 83709 2020-11-03

National Provider Identifier

NPI Number:
1154743912

Authorized Person:

Name:
DR. KATRIN HURLEY MOFFETT
Role:
OWNER/MEMBER
Phone:

Taxonomy:

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

Contacts:

Fax:
2089952870

Filing

Filing Name Filing Number Filing date
Statement of Change of Business Mailing Address 0004511769 2021-12-03
Statement of Dissolution 0004511813 2021-12-03
Annual Report 0004048287 2020-11-03
Change of Registered Office/Agent/Both (by Entity) 0004048259 2020-11-03
Amendment to Certificate 0003775295 2020-02-07

Paycheck Protection Program

Jobs Reported:
6
Initial Approval Amount:
$24,000
Date Approved:
2020-05-11
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$24,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$24,261.7
Servicing Lender:
D. L. Evans Bank
Use of Proceeds:
Payroll: $18,000
Utilities: $2,016
Mortgage Interest: $1,992
Rent: $1,992

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Date of last update: 21 Jul 2025

Sources: Idaho Secretary of State