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FOOT DYNAMICS

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Company Details

Name: FOOT DYNAMICS
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 21 Apr 2011 (14 years ago)
Entity Number: 447640
Place of Formation: IDAHO
File Number: 0000447640
ZIP code: 83702
County: Ada County
Mailing Address: 1021 W MAIN ST BOISE, ID 83702

National Provider Identifier

NPI Number:
1760555288

Authorized Person:

Name:
MR. JEFFREY THOMAS JACOBS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
222Z00000X - Orthotist
Is Primary:
Yes

Contacts:

Fax:
2083863250

Filing

Filing Name Filing Number Filing date
Initial Filing 0000447640 2011-04-21

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Date of last update: 26 Sep 2024

Sources: Idaho Secretary of State