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KOTH SPORTS PHYSICAL THERAPY, P.A.

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Company Details

Name: KOTH SPORTS PHYSICAL THERAPY, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 02 May 2003 (22 years ago)
Financial Date End: 31 May 2026
Entity Number: 453460
Place of Formation: IDAHO
File Number: 453460
ZIP code: 83340
County: Blaine County
Mailing Address: PO BOX 5232 KETCHUM, ID 83340-5299

Agent

Name Role Address
JOHN C KOTH Agent 101 SADDLE RD, 2ND FLOOR, KETCHUM, ID 83340

Director

Name Role Address Appointed On
John Koth Director 101 SADDLE ROAD 2ND FLOOR, KETCHUM, ID 83340 2021-04-12

Secretary

Name Role Address Appointed On Resigned On
Sherri Koth Secretary 101 SADDLE ROAD 2ND FLOOR, KETCHUM, ID 83340 2024-05-29 2024-05-29

President

Name Role Address Appointed On Resigned On
John Koth President 101 SADDLE ROAD 2ND FLOOR, KETCHUM, ID 83340 2024-05-29 2024-05-29

National Provider Identifier

NPI Number:
1265524045

Authorized Person:

Name:
SHERRI L KOTH
Role:
ITS SECRETARY/TREASURER, ITS BUS MG
Phone:

Taxonomy:

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

Contacts:

Fax:
2087261607

Filing

Filing Name Filing Number Filing date
Annual Report 0006285445 2025-05-27
Annual Report 0005750066 2024-05-29
Annual Report 0005213109 2023-04-27
Annual Report 0004688055 2022-04-05
Annual Report 0004245275 2021-04-12

Paycheck Protection Program

Jobs Reported:
2
Initial Approval Amount:
$27,212
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$27,212
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$27,501.51
Servicing Lender:
U.S. Bank, National Association
Use of Proceeds:
Payroll: $27,212

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Date of last update: 09 Aug 2025

Sources: Idaho Secretary of State