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Mountain View Physiatry PLLC

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Company Details

Name: Mountain View Physiatry PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 02 Mar 2021 (4 years ago)
Financial Date End: 31 Mar 2026
Entity Number: 4186555
Place of Formation: IDAHO
File Number: 750367
ZIP code: 83854
County: Kootenai County
Principal Address: #311 1869 E SELTICE WY POST FALLS, ID 83854
Mailing Address: 1869 E SELTICE WAY # 531 POST FALLS, ID 83854-7019

Agent

Name Role Address
TIMMY ALAN FERRELL, MD Agent 10520 N PAYMENT PEAK RD, HAUSER, ID 83854

Manager

Name Role Address Appointed On
TIMMY A FERRELL Manager 10520 N PAYMENT PEAK RD, HAUSER, ID 83854 2022-03-31

National Provider Identifier

NPI Number:
1760263883
Certification Date:
2023-12-18

Authorized Person:

Name:
DR. NEILLY BUCKALEW
Role:
PHYSICIAN/CO-OWNER
Phone:

Taxonomy:

Selected Taxonomy:
2081N0008X - Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
Is Primary:
Yes

Contacts:

Fax:
7244268936

Filing

Filing Name Filing Number Filing date
Annual Report 0006198109 2025-04-07
Annual Report 0005596779 2024-02-10
Annual Report 0005116274 2023-02-14
Annual Report 0004680219 2022-03-31
Initial Filing 0004186555 2021-03-02

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Date of last update: 08 Jul 2025

Sources: Idaho Secretary of State