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Inspire Functional Rehabilitation and Fitness, PLLC

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Company Details

Name: Inspire Functional Rehabilitation and Fitness, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 03 Aug 2021 (4 years ago)
Financial Date End: 31 Aug 2025
Entity Number: 4368539
Place of Formation: IDAHO
File Number: 775736
ZIP code: 83646
County: Ada County
Principal Address: MARY JOHNSON, PT 1286 E. TUTTLE ST MERIDIAN, ID 83646
Mailing Address: MARY JOHNSON, PT 1286 E TUTTLE ST MERIDIAN, ID 83646-5932

Agent

Name Role Address
Mary Johnson Agent 1286 E TUTTLE ST, MERIDIAN, ID 83646

Manager

Name Role Address Appointed On
Mary Johnson PT Manager 1286 E. TUTTLE ST, MERIDIAN, ID 83646 2022-08-20

National Provider Identifier

NPI Number:
1366180465
Certification Date:
2022-07-10

Authorized Person:

Name:
MARY JOHNSON
Role:
OWNER/THERAPIST
Phone:

Taxonomy:

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

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005893220 2024-09-06
Annual Report 0005371630 2023-08-24
Annual Report 0004866102 2022-08-20
Initial Filing 0004368539 2021-08-03

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Date of last update: 16 Apr 2025

Sources: Idaho Secretary of State