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ScoliSpine, PLLC

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Company Details

Name: ScoliSpine, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 15 Mar 2021 (4 years ago)
Financial Date End: 31 Mar 2026
Entity Number: 4209638
Place of Formation: IDAHO
File Number: 752758
ZIP code: 83704
County: Ada County
Principal Address: 7219 W. POTOMAC DRIVE BOISE, ID 83704
Mailing Address: 743 E HEARTHSTONE DR BOISE, ID 83702-1823

Agent

Name Role Address
RITA MILLER MPT CSCS Agent 2157 S PEBBLECREEK LANE, BOISE, ID 83706

Manager

Name Role Address Appointed On
Rita Miller Manager 2157 S. PEBBLECREEK LANE, BOISE, ID 83706 2022-02-03

National Provider Identifier

NPI Number:
1285142323
Certification Date:
2023-01-10

Authorized Person:

Name:
RITA MILLER
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
2089080095

Filing

Filing Name Filing Number Filing date
Annual Report 0006097004 2025-02-04
Annual Report 0005582574 2024-02-04
Annual Report 0005093153 2023-02-03
Statement of Change of Business Mailing Address 0004968594 2022-11-03
Annual Report 0004592329 2022-02-03

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Date of last update: 08 Jul 2025

Sources: Idaho Secretary of State