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PHILLIPS THERAPY INCORPORATED

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Company Details

Name: PHILLIPS THERAPY INCORPORATED
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Active-Good Standing
Date of registration: 19 Sep 2001 (24 years ago)
Financial Date End: 30 Sep 2025
Date dissolved: 16 Dec 2023
Entity Number: 429084
Place of Formation: IDAHO
File Number: 429084
ZIP code: 83455
County: Teton County
Mailing Address: PO BOX 761 VICTOR, ID 83455-0761

Agent

Name Role Address
HEATHER A HORA Agent 729 PINE MOUNTAIN DR, VICTOR, ID 83455

President

Name Role Address Appointed On
heather hora President PO BOX 761, VICTOR, ID 83455 2020-12-08
Heather Hora President PO BOX 761, VICTOR, ID 83455 2022-10-13

National Provider Identifier

NPI Number:
1891025656

Authorized Person:

Name:
HEATHER ANN HORA
Role:
OCCUPATIONAL THERAPIST/PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
225X00000X - Occupational Therapist
Is Primary:
Yes

Contacts:

Fax:
2087870946

Filing

Filing Name Filing Number Filing date
Application for Reinstatement 0006125262 2025-02-23
Dissolution/Revocation - Administrative 0005516096 2023-12-16
Application for Reinstatement 0004951926 2022-10-13
Dissolution/Revocation - Administrative 0004540900 2021-12-24
Dissolution/Revocation - Administrative 0004093532 2020-12-08

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Date of last update: 05 Jun 2025

Sources: Idaho Secretary of State